Johnson, Donald J
Johnson, Donald J is an sole proprietor health care provider with primary practice located at 3600 Washburn Way , Klamath Falls OR 97603-4539. He recently has 4 registered licenses in different health care specialties including Eye and Vision Services Providers / Optometrist, Eye and Vision Services Providers / Corneal and Contact Management, Eye and Vision Services Providers / Pediatrics, Eye and Vision Services Providers / Low Vision Rehabilitation. Eye and Vision Services Providers / Optometrist is his primary health care specialty. Johnson, Donald J can be contacted via phone (541) 883-1669.Contact Information
Primary practice address
3600 Washburn Way
Klamath Falls OR 97603-4539
Phone: (541) 883-1669
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | 1642 ATI | Oregon |
| Eye and Vision Services Providers / Corneal and Contact Management | 152WC0802X | 1642 ATI | Oregon |
| Eye and Vision Services Providers / Pediatrics | 152WP0200X | 1642ATI | Oregon |
| Eye and Vision Services Providers / Low Vision Rehabilitation | 152WL0500X | 1642ATI | Oregon |
Profile Details
| NPI number | 1841474731 |
|---|---|
| LBN Legal business name | Johnson, Donald J |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Dec 27th, 2007 |
| Last updated | Feb 10th, 2008 - about 17 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 | 1841474731 | NPPES |
| Oregon | MEDICAID | 031380 |
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