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
Phone: (941) 792-2020
Fax: (941) 782-1089
Website:
Health care specialties
| Specialty | Code | License # | 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1962465849 | NPPES |
| Florida | MEDICAID | 620900900 |
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