Ellyn Victoria Johnson in Advance - Optometrist

Ellyn Victoria Johnson - NPI 1386694917

Ellyn Victoria Johnson is a Optometrist in Advance, North Carolina. Ellyn Victoria Johnson practices all healthcare services and medical treatments related to Optometrist. The NPI Number for Ellyn Victoria Johnson is 1386694917. The last update date is 2010-09-29.

Ellyn Victoria Johnson's current location address is 5380 Us Highway 158, Advance, North Carolina. You can contact this provider via phone number 3369402015 and fax number 3369402069. The mailing address for Ellyn Victoria Johnson is 5380 Us Highway 158, Advance, North Carolina. To know further, please read the information below!

Provider Profile Detail

Provider Name Ellyn Victoria Johnson
Address 5380 Us Highway 158, Advance, North Carolina
Phone Number 3369402015
Fax Number 3369402069
Sole Proprietor N
Credentials OD

NPI Number Detail

NPI Number 1386694917
Provider Enumeration Date 2006-05-12
Last Updated Date 2010-09-29

Provider Mailing Address Detail

Address 5380 Us Highway 158
City Advance
State North Carolina (NC)
Post Code 270066907
Phone Number 3369402015
Fax Number 3369402069

Provider's Primary Taxonomy Detail

Speciality Optometrist
Taxonomy 152W00000X
Licence No 1813
Definition:
Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
89093J4 NC --

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FAQs about Ellyn Victoria Johnson

What is the unique provider identifier assigned to Ellyn Victoria Johnson?

The Ellyn Victoria Johnson has been issued the NPI (National Provider Identifier) 1386694917 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.

Where is the Ellyn Victoria Johnson located?

The Ellyn Victoria Johnson is located at 5380 Us Highway 158, Advance, NC 270066907.

What is Ellyn Victoria Johnson's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?

The primary field of medical specialization for Ellyn Victoria Johnson is Optometrist, and the taxonomy classification code that categorizes this area of expertise is 152W00000X.

On what date was the 1386694917 assigned to Ellyn Victoria Johnson?

The Ellyn Victoria Johnson was issued its 1386694917 on 2006-05-12, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.

When was the information related to Ellyn Victoria Johnson most recently updated or refreshed?

The details pertaining to the Ellyn Victoria Johnson, including its address, specialty, and other relevant information, were last updated or refreshed on 2010-09-29.

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