Johnson, Sophia Ayako
Johnson, Sophia Ayako is an individual health care provider with primary practice located at 1250 Scenic Hwy Ste 1700 , Lawrenceville GA 30045-7823. She recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as her primary health care specialty. Johnson, Sophia Ayako can be contacted via phone (678) 381-2020.Contact Information
Primary practice address
1250 Scenic Hwy Ste 1700
Lawrenceville GA 30045-7823
Phone: (678) 381-2020
Fax: (678) 381-2015
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | OPT003326 | Georgia |
Profile Details
| NPI number | 1205405339 |
|---|---|
| LBN Legal business name | Johnson, Sophia Ayako |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 22nd, 2021 |
| Last updated | Jun 9th, 2022 - about 2 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 | 1205405339 | NPPES |
| Georgia | Other | OPT003326 | PROFESSIONAL LICENSE |
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