Brent Warren Johnson in Vancouver - Optometrist
Brent Warren Johnson - NPI 1710031463
Brent Warren Johnson is a Optometrist in Vancouver, Washington. Brent Warren Johnson practices all healthcare services and medical treatments related to Optometrist. The NPI Number for Brent Warren Johnson is 1710031463. The last update date is 2008-03-15.
Brent Warren Johnson's current location address is 700 Se Chkalov Dr, Vancouver, Washington. You can contact this provider via phone number 3602560612 and fax number 3608965503. The mailing address for Brent Warren Johnson is 700 Se Chkalov Dr, Vancouver, Washington. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Brent Warren Johnson |
|---|---|
| Address | 700 Se Chkalov Dr, Vancouver, Washington |
| Phone Number | 3602560612 |
| Fax Number | 3608965503 |
| Sole Proprietor | Y |
| Credentials | O.D. |
NPI Number Detail
| NPI Number | 1710031463 |
|---|---|
| Provider Enumeration Date | 2007-01-22 |
| Last Updated Date | 2008-03-15 |
Provider Mailing Address Detail
| Address | 700 Se Chkalov Dr |
|---|---|
| City | Vancouver |
| State | Washington (WA) |
| Post Code | 986835202 |
| Phone Number | 3602560612 |
| Fax Number | 3608965503 |
Provider's Primary Taxonomy Detail
| Speciality | Optometrist |
|---|---|
| Taxonomy | 152W00000X |
| Licence No | 1650TX |
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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 |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 2003523 | WA | -- |
Post Comment/ Review Below
What is the unique identifier code issued to Brent Warren Johnson by the Centers for Medicare & Medicaid Services?
The Brent Warren Johnson has been assigned the NPI (National Provider Identifier) 1710031463. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you kindly provide the complete physical address where Brent Warren Johnson's facilities are geographically located?
The facilities of Brent Warren Johnson are physically situated at the following location: 700 Se Chkalov Dr, Vancouver, WA, 986835202.
What is the Brent Warren Johnson's area of specialization and corresponding taxonomy classification?
The Brent Warren Johnson's specialty field is Optometrist, and it falls under the taxonomy code 152W00000X, which categorizes healthcare providers based on their specialties.
On what date did Brent Warren Johnson receive its 1710031463 assignment from the Centers for Medicare & Medicaid Services?
The Brent Warren Johnson was assigned its 1710031463 on 2007-01-22, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
When was the information regarding Brent Warren Johnson, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Brent Warren Johnson, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2008-03-15.
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