Active NPIIndividual provider

Dr. Editha Johnson, DO

Ophthalmology, Neuro-ophthalmology in Hartford, Connecticut

NPI Number1790165173
Practice location
85 Seymour St # 825, Hartford, CT 06106-5501
Fax
—
Last updated
July 30, 2020

Editha Johnson is an Ophthalmology, Neuro-ophthalmology based in Hartford, CT. Editha Johnson practices in Hartford, CT and has the professional credentials of DO. The NPI Number for Editha Johnson is 1790165173 and holds a License No. 66348 (CT). The current practice location address for Editha Johnson is 85 Seymour St # 825, Hartford, CT 06106-5501 and can be reached out via phone at 860-545-5000.

Provider Profile Details

NPI Number
1790165173
Provider Name
Editha Johnson
Credential
DO
Provider Entity Type
Individual
Gender
Female
Address
85 Seymour St # 825, Hartford, CT 06106-5501
Phone Number
860-545-5000
Primary Taxonomy
Ophthalmology, Neuro-ophthalmology · 207WX0109X
Sole Proprietor
No
Provider Enumeration Date
June 1, 2015
Last Update Date
July 30, 2020
Certification Date
July 30, 2020
NPI Status
Active

Provider Business Practice Location Address Details

Address
85 Seymour St # 825
Hartford, CT 06106-5501
Zip
06106-5501
Phone Number
860-545-5000
Hartford, CT 06106Get directions →

Provider Business Mailing Address Details

Address
85 Seymour St # 825
Hartford, CT 06106-5501
City
Hartford
State
CT
Zip
06106-5501
Phone Number
860-545-5000

License Information

License Number (1)
66348
License State (1)
CT
Taxonomy (1)
Psychiatry & Neurology, Neurology · 2084N0400X
License Number (2)
66348
License State (2)
CT
Taxonomy (2)
Ophthalmology, Neuro-ophthalmology · 207WX0109X · 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 Dr. Editha Johnson, DO?

The NPI number of Dr. Editha Johnson, DO is 1790165173. It was assigned on June 1, 2015 and is currently active in the NPPES registry.

What is the specialty of Dr. Editha Johnson, DO?

Dr. Editha Johnson, DO is registered under the primary taxonomy Ophthalmology, Neuro-ophthalmology (code 207WX0109X), licensed in CT under license number 66348.

Where does Dr. Editha Johnson, DO practice?

The practice location is 85 Seymour St # 825, Hartford, CT 06106-5501. The office can be reached at 860-545-5000 (phone).

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 1790165173 directly on the NPPES registry website.

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