Johnson, Roger Dean
Johnson, Roger Dean is an individual health care provider with primary practice located at 702 10Th St , Worthington MN 56187-2767. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Johnson, Roger Dean can be contacted via phone (507) 376-5535.Contact Information
Primary practice address
702 10Th St
Worthington MN 56187-2767
Phone: (507) 376-5535
Fax: (507) 376-4805
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | 1545 | Minnesota |
Profile Details
| NPI number | 1821023979 |
|---|---|
| LBN Legal business name | Johnson, Roger Dean |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 11th, 2006 |
| Last updated | Mar 3rd, 2015 - about 9 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 | 1821023979 | NPPES |
| Minnesota | MEDICAID | 454523100 |
Popular Providers
-
Akel, Abraham
105 Sawgrass Pt , Harrison AR 72601-3072 -
Eckard, Dax M
3353 N Gloster St , Tupelo MS 38804-9735 -
Brudner, Peter N.
425 W Central Ave , Lompoc CA 93436-2805 -
Jones, Lezlie Pearl
702 10Th St , Worthington MN 56187-2767 -
Haas, Scott Joseph
1755 N Humiston Ave , Worthington MN 56187-1757 -
Roth, Reed T
28370 Kensington Ln Suite A, Perrysburg OH 43551-4163 -
Cloyd, Frances G
709 S Riverside Ave , Medford OR 97501-7837 -
Vincelli, Ryan Christopher
1055 Ryans Rd , Worthington MN 56187-1721