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
Fax: (308) 537-2280
Website:

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 11 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 1407887755 NPPES
Nebraska Other 2804450 MEDICARE PROVIDER NUMBER
Nebraska MEDICAID 10025277400 MEDICARE PROVIDER NUMBER

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