Johnson, Eric J

Johnson, Eric J is an individual health care provider with primary practice located at 1301 20Th Ave , Meridian MS 39301-4121. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Johnson, Eric J can be contacted via phone (601) 485-2368.

Contact Information

Primary practice address
1301 20Th Ave Meridian MS 39301-4121
Phone: (601) 485-2368
Fax: (601) 693-2174
Website:
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Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 684 Mississippi

Profile Details

NPI number 1154345486
LBN Legal business name Johnson, Eric J
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 27th, 2006
Last updated May 19th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1154345486 NPPES
Mississippi Other 410048407 RAILROAD MEDICARE
Mississippi Other CH6608 RAILROAD MEDICARE
Mississippi MEDICAID 00880212 RAILROAD MEDICARE
Mississippi Other 1942285564 RAILROAD MEDICARE
Mississippi Other P00281824 RAILROAD MEDICARE
Mississippi Other 640931945 RAILROAD MEDICARE
Mississippi MEDICAID 051554358 RAILROAD MEDICARE
Mississippi Other CH5554 RAILROAD MEDICARE

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