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Contact Information

CASEY H JOHNSON, MD
6400 DUTCHMANS PKWY
SUITE 125
LOUISVILLE, KY40205-3340
 Phone: 502-896-8700
 Fax: 502-896-0813
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Ophthalmology

207W00000X 18 Physician/Ophthalmology
Indicates primary specialty

NPI Profile & details for CASEY H JOHNSON · (Male)

NPI # 1982710752
Status Active
Credentials MD
Entity Individual
Enumeration date 08/22/2006
Last updated 02/10/2023 - About 3 years ago
Sole proprietor 1 No
Identifiers
  • KY License # 40094
  • KY Medicaid 64130107
  • KY Other 000000486192 ANTHEM BLUE CROSS BLUE SH
Hospital affiliation(s)
  • BAPTIST HOSPITAL EAST - (Acute Care)
    4000 KRESGE WAY
    LOUISVILLE, KY 40207
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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