Johnson, Gavin Lane
Johnson, Gavin Lane is an individual health care provider with primary practice located at 34 S Main St , Brigham City UT 84302-2527. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Johnson, Gavin Lane can be contacted via phone (435) 723-2485.Contact Information
Primary practice address
34 S Main St
Brigham City UT 84302-2527
Phone: (435) 723-2485
Fax: (435) 723-5840
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | 12753476-9934 | Utah |
Profile Details
| NPI number | 1194340745 |
|---|---|
| LBN Legal business name | Johnson, Gavin Lane |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 10th, 2020 |
| Last updated | Jan 11th, 2024 - about last year |
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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