Johnson, Christopher David
Johnson, Christopher David is an individual health care provider with primary practice located at 986 Se Uglow Street , Dallas OR 97338. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Johnson, Christopher David can be contacted via phone (503) 623-3538.Contact Information
Primary practice address
986 Se Uglow Street
Dallas OR 97338
Phone: (503) 623-3538
Fax: (503) 623-8112
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | 2925ATI | Oregon |
Profile Details
| NPI number | 1740383116 |
|---|---|
| LBN Legal business name | Johnson, Christopher David |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 7th, 2006 |
| Last updated | Jul 8th, 2007 - about 18 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 | 1740383116 | NPPES |
| Oregon | MEDICAID | 298499 | |
| Oregon | Other | 212606 | |
| Oregon | Other | DC7770 |
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