Active NPIIndividual provider

Mrs. Randi M Johansen, OPTICIAN

Technician/Technologist, Optician in Riverdale, New Jersey

NPI Number1700054236
Practice location
92 Rte 23N, Suite E, Riverdale, NJ 07457
Fax
973-248-1125
Last updated
February 19, 2008

Randi Marie Johansen is a Technician/Technologist, Optician based in Riverdale, NJ. Randi Marie Johansen practices in Riverdale, NJ and has the professional credentials of OPTICIAN. The NPI Number for Randi Marie Johansen is 1700054236 and holds a License No. 31TD00352000 (NJ). The current practice location address for Randi Marie Johansen is 92 Rte 23N, Suite E, Riverdale, NJ 07457 and can be reached out via phone at 973-248-1188 and via fax at 973-248-1125.

Provider Profile Details

NPI Number
1700054236
Provider Name
Randi Marie Johansen
Credential
OPTICIAN
Provider Entity Type
Individual
Gender
Female
Address
92 Rte 23N, Suite E, Riverdale, NJ 07457
Phone Number
973-248-1188
Fax Number
973-248-1125
Primary Taxonomy
Technician/Technologist, Optician · 156FX1800X
Sole Proprietor
No
Provider Enumeration Date
February 19, 2008
Last Update Date
February 19, 2008
NPI Status
Active

Provider Business Practice Location Address Details

Address
92 Rte 23N
Suite E
Riverdale, NJ 07457
Zip
07457
Phone Number
973-248-1188
Fax Number
973-248-1125
Riverdale, NJ 07457Get directions →

Provider Business Mailing Address Details

Address
92 Rte 23N
Suite E
Riverdale, NJ 07457
City
Riverdale
State
NJ
Zip
07457
Phone Number
973-248-1188
Fax Number
973-248-1125

License Information

License Number
31TD00352000
License State
NJ
Taxonomy
Technician/Technologist, Optician · 156FX1800X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Mrs. Randi M Johansen, OPTICIAN?

The NPI number of Mrs. Randi M Johansen, OPTICIAN is 1700054236. It was assigned on February 19, 2008 and is currently active in the NPPES registry.

What is the specialty of Mrs. Randi M Johansen, OPTICIAN?

Mrs. Randi M Johansen, OPTICIAN is registered under the primary taxonomy Technician/Technologist, Optician (code 156FX1800X), licensed in NJ under license number 31TD00352000.

Where does Mrs. Randi M Johansen, OPTICIAN practice?

The practice location is 92 Rte 23N, Suite E, Riverdale, NJ 07457. The office can be reached at 973-248-1188 (phone) or 973-248-1125 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1700054236 directly on the NPPES registry website.

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