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Contact Information

GARY E JOHNSON, OD
3902 13TH AVE S STE 406
FARGO, ND58103-3357
 Phone: 701-277-9555
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Corneal and Contact Management

152WC0802X 41 Optometry
Indicates primary specialty

NPI Profile & details for GARY E JOHNSON · (Male)

NPI Number 1275551848
Status Active
Credentials OD (Doctor of Optometry)
Entity Individual
Enumeration date 07/18/2006
Last updated 08/28/2019 - About 7 years ago
Sole proprietor 1 No
Identifiers
  • ND License # 607
Hospital affiliation(s) Not Available
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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