Johnson, Ryan

Johnson, Ryan is an individual health care provider with primary practice located at 7960 W Rifleman St Suite 150, Boise ID 83704-9064. He recently has 2 registered licenses in different health care specialties including Eye and Vision Services Providers / Optometrist, Eye and Vision Services Providers / Vision Therapy. Eye and Vision Services Providers / Vision Therapy is his primary health care specialty. Johnson, Ryan can be contacted via phone (208) 377-8899.

Contact Information

Primary practice address
7960 W Rifleman St Suite 150 Boise ID 83704-9064
Phone: (208) 377-8899
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 14467 California
Eye and Vision Services Providers / Vision Therapy 152WV0400X ODP-100269 Idaho

Profile Details

NPI number 1366706525
LBN Legal business name Johnson, Ryan
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 2nd, 2012
Last updated Jul 23rd, 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.

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