DR. RYAN JOHNSON, O.D.

Optometrist

Active Individual
NPI: 1184653404

Practice Address

4240 YELLOWSTONE AVE
Chubbuck, ID 83202

Phone: (208) 238-2020

Specialties

Specialty Code Primary License
Optometrist 152W00000X Yes ODP-1037 (ID)

Frequently Asked Questions

NPI 1184653404 is the National Provider Identifier for DR. RYAN JOHNSON, O.D., a Optometrist provider located in Chubbuck, ID. This NPI was enumerated on June 30, 2006.
DR. RYAN JOHNSON, O.D. practices at 4240 YELLOWSTONE AVE, Chubbuck, ID 83202.

Quick Facts

NPI
1184653404
Type
Individual
Enumerated
Jun 30, 2006
Last Updated
Jul 19, 2021

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