Johnson, Kimberly A
Johnson, Kimberly A is an individual health care provider with primary practice located at 902 Avenue D Ste 102B , Gothenburg NE 69138-1955. She recently has 7 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 / Low Vision Rehabilitation, Eye and Vision Services Providers / Vision Therapy, Eye and Vision Services Providers / Pediatrics, Eye and Vision Services Providers / Sports Vision, Eye and Vision Services Providers / Occupational Vision. Eye and Vision Services Providers / Optometrist is her primary health care specialty. Johnson, Kimberly A can be contacted via phone (308) 537-2020.Contact Information
Primary practice address
902 Avenue D Ste 102B
Gothenburg NE 69138-1955
Phone: (308) 537-2020
Fax: (308) 537-2280
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Eye and Vision Services Providers / Optometrist | 152W00000X | 1232 | Nebraska |
Eye and Vision Services Providers / Corneal and Contact Management | 152WC0802X | 1232 | Nebraska |
Eye and Vision Services Providers / Low Vision Rehabilitation | 152WL0500X | 1232 | Nebraska |
Eye and Vision Services Providers / Vision Therapy | 152WV0400X | 1232 | Nebraska |
Eye and Vision Services Providers / Pediatrics | 152WP0200X | 1232 | Nebraska |
Eye and Vision Services Providers / Sports Vision | 152WS0006X | 1232 | Nebraska |
Eye and Vision Services Providers / Occupational Vision | 152WX0102X | 1232 | Nebraska |
Profile Details
NPI number | 1407887755 |
---|---|
LBN Legal business name | Johnson, Kimberly A |
Credentials | Doctor of Optometry (OD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jul 5th, 2006 |
Last updated | Feb 21st, 2013 - about 12 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 | 1407887755 | NPPES |
Nebraska | Other | 2804450 | MEDICARE PROVIDER NUMBER |
Nebraska | MEDICAID | 10025277400 | MEDICARE PROVIDER NUMBER |
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