person
Tammy L Johnson, OPTICIAN
Optician in Longview, Washington
NPI 1326180076

Tammy L Johnson is a Optician based in Longview, WA and is specialized in Optician. Tammy L Johnson practices in Longview, WA and has the professional credentials of OPTICIAN. The NPI Number for Tammy L Johnson is 1326180076 and holds a License No. DO1822 (Washington).

The current practice location address for Tammy L Johnson is 1339 Commerce Ave, Longview, WA and can be reached out via phone at 360-425-4647 and via fax at 360-578-2496.

Location: 1339 Commerce Ave, Longview, WA, 98632-3738
person
Provider Profile Details
NPI Number
1326180076
Provider Name
Tammy L Johnson
Credential
OPTICIAN
Provider Entity Type
Individual
Gender
Female
Address
1339 Commerce Ave, Longview, WA, 98632-3738
Phone Number
360-425-4647
Fax Number
360-578-2496
Provider Enumeration Date
02/12/2007
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
212744 01 212744
LO22314 01 22314
WA0851 01 0851
2026979 05 WA
institution
Provider Business Practice Location Address Details
Address
1339 Commerce Ave
City
State
Zip
98632-3738
Phone Number
360-425-4647
Fax Number
360-578-2496
person
Provider Business Mailing Address Details
Address
1339 Commerce Ave
City
State
Zip
98632-3738
Phone Number
360-425-4647
Fax Number
360-578-2496
person
Provider's Taxonomy Details 1
Type
Eye and Vision Services Providers
Classification
Technician/Technologist
Speciality
Optician
Taxonomy
License No.
DO1822 (Washington)
Definition
Definition to come...
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