Tibitha Jane Johnston in Portland - Contact Lens

Tibitha Jane Johnston - NPI 1578650149

Tibitha Jane Johnston is a Contact Lens in Portland, Oregon. Tibitha Jane Johnston practices all healthcare services and medical treatments related to Contact Lens. The NPI Number for Tibitha Jane Johnston is 1578650149. The last update date is 2007-07-08.

Tibitha Jane Johnston's current location address is 2426 Se 157th Ave, Portland, Oregon. You can contact this provider via phone number 5037612329. The mailing address for Tibitha Jane Johnston is 2426 Se 157th Ave, Portland, Oregon. To know further, please read the information below!

Provider Profile Detail

Provider Name Tibitha Jane Johnston
Address 2426 Se 157th Ave, Portland, Oregon
Phone Number 5037612329
Fax Number
Sole Proprietor N
Credentials LDO

NPI Number Detail

NPI Number 1578650149
Provider Enumeration Date 2006-10-06
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 2426 Se 157th Ave
City Portland
State Oregon (OR)
Post Code 972333710
Phone Number 5037612329
Fax Number

Provider's Primary Taxonomy Detail

Speciality Contact Lens
Taxonomy 156Fc0800X
Definition:
An optician or other ancillary support staff person who, where authorized by state law and trained or certified to do so, may fit or dispense contact lenses to a patient based on the prescription of an optometrist or medical physician.

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FAQs about Tibitha Jane Johnston

What is the unique provider identifier assigned to Tibitha Jane Johnston?

The Tibitha Jane Johnston has been issued the NPI (National Provider Identifier) 1578650149 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.

Could you please share the complete physical location address where Tibitha Jane Johnston's facilities are situated?

The facilities of Tibitha Jane Johnston are physically located at the following address: 2426 Se 157Th Ave, Portland, OR, 972333710.

What is Tibitha Jane Johnston's area of expertise and its corresponding taxonomy classification?

The Tibitha Jane Johnston's field of specialization is Contact Lens, and it falls under the taxonomy code 156Fc0800X, which categorizes healthcare providers based on their areas of practice.

On what date did the Centers for Medicare & Medicaid Services assign the 1578650149 to Tibitha Jane Johnston?

The Centers for Medicare & Medicaid Services assigned the 1578650149 to Tibitha Jane Johnston on 2006-10-06.

When was the information related to Tibitha Jane Johnston most recently updated or refreshed?

The details pertaining to the Tibitha Jane Johnston, including its address, specialty, and other relevant information, were last updated or refreshed on 2007-07-08.

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