Johnson, Mark Alan

Johnson, Mark Alan is an individual health care provider with primary practice located at 6155 Eastex Fwy Suite 699, Beaumont TX 77706-6718. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Johnson, Mark Alan can be contacted via phone (409) 892-1284.

Contact Information

Primary practice address
6155 Eastex Fwy Suite 699 Beaumont TX 77706-6718
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X TX4495T Texas

Profile Details

NPI number 1891919023
LBN Legal business name Johnson, Mark Alan
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 12th, 2007
Last updated Jul 8th, 2007 - 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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