Johnson, Rachel L
Johnson, Rachel L is an individual health care provider with primary practice located at 3301 E Center Street Ext , Warsaw IN 46582-3909. She recently has 2 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 / Optometrist is her primary health care specialty. Johnson, Rachel L can be contacted via phone (574) 269-3828.Contact Information
Primary practice address
3301 E Center Street Ext
Warsaw IN 46582-3909
Phone: (574) 269-3828
Fax: (574) 269-3848
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | 18002823A | Indiana |
| Eye and Vision Services Providers / Corneal and Contact Management | 152WC0802X | 18002823A | Indiana |
Profile Details
| NPI number | 1972528123 |
|---|---|
| LBN Legal business name | Johnson, Rachel L |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 12th, 2006 |
| Last updated | Feb 24th, 2016 - about 8 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 | 1972528123 | NPPES |
| Indiana | MEDICAID | 200124290A |
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