Johnson, Alisha R

Johnson, Alisha R is an individual health care provider with primary practice located at 6002 Pointe West Blvd , Bradenton FL 34209-5531. She recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as her primary health care specialty. Johnson, Alisha R can be contacted via phone (941) 792-2020.

Contact Information

Primary practice address
6002 Pointe West Blvd Bradenton FL 34209-5531
Fax: (941) 782-1089
Website:

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X OPC 3652 Florida

Profile Details

NPI number 1962465849
LBN Legal business name Johnson, Alisha R
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 11th, 2006
Last updated May 20th, 2008 - about 16 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1962465849 NPPES
Florida MEDICAID 620900900

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