Johnston, Lori S

Johnston, Lori S is an individual health care provider with primary practice located at 3300 W Purdue , Muncie IN 47304. She recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as her primary health care specialty. Johnston, Lori S can be contacted via phone (765) 287-8579.

Contact Information

Primary practice address
3300 W Purdue Muncie IN 47304
Phone: (765) 287-8579
Fax: (765) 287-8159
Website:
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Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 18003336A Indiana
Eye and Vision Services Providers / Optometrist 152W00000X 18003336B Indiana

Profile Details

NPI number 1598736704
LBN Legal business name Johnston, Lori S
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 27th, 2006
Last updated Feb 19th, 2008 - about 16 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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Identifiers

StateTypeNumberIssuer
All States NPI 1598736704 NPPES
Indiana MEDICAID 200532270
Indiana Other 000000387321

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