person
Wyatt Johnson, ABOC
Optician in Pendleton, Oregon
NPI 1831880749

Wyatt Johnson is a Optician based in Pendleton, OR and is specialized in Optician. Wyatt Johnson practices in Pendleton, OR and has the professional credentials of ABOC. The NPI Number for Wyatt Johnson is 1831880749 and holds a License No. 249306 (Oregon).

The current practice location address for Wyatt Johnson is 2203 Sw Court Pl, Pendleton, OR and can be reached out via phone at 541-276-2905.

Location: 2203 Sw Court Pl, Pendleton, OR, 97801-1896
person
Provider Profile Details
NPI Number
1831880749
Provider Name
Wyatt Johnson
Credential
ABOC
Provider Entity Type
Individual
Gender
Male
Address
2203 Sw Court Pl, Pendleton, OR, 97801-1896
Phone Number
541-276-2905
Fax Number
Provider Enumeration Date
05/19/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
2203 Sw Court Pl
City
State
Zip
97801-1896
Phone Number
541-276-2905
Fax Number
person
Provider Business Mailing Address Details
Address
2203 Sw Court Pl
City
State
Zip
97801-1896
Phone Number
541-276-2905
Fax Number
person
Provider's Taxonomy Details 1
Type
Eye and Vision Services Providers
Classification
Technician/Technologist
Speciality
Optician
Taxonomy
License No.
249306 (Oregon)
Definition
Definition to come...
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