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Contact Information

THOMAS N JOHNSON, OPTOMETRIST
2824 W DIVISION ST
SAINT CLOUD, MN56301-3800
 Phone: 320-253-2020
 Fax: 320-251-6885
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Corneal and Contact Management

152WC0802X 41 Optometry
Indicates primary specialty

NPI Profile & details for THOMAS N JOHNSON · (Male)

NPI # 1831290550
Status Active
Credentials OPTOMETRIST
Entity Individual
Enumeration date 09/26/2006
Last updated 10/29/2008 - About 18 years ago
Sole proprietor 1 No
Identifiers
  • MN License # LD22510000
  • MN Medicaid 428318000
  • MN Other SPECTARA 17760
  • MN Other 22-255-2298 AETNA (TAX ID)
  • MN Other 85742JO BCBSM CLINIC ID #
  • MN Other 3C169JO BCBSM ID#
  • MN Other 48457 DAVIS VISION
  • MN Other 21-00495 MA-MEDICA DISPENSING
  • MN Other 22-255-2298 MAYO HEALTH PLAN (TAX ID)
  • MN Other 22-02504 MEDICA
  • MN Other 539263 OPTICHOICE (BCBSM)
  • MN Other 20-2552298 PREFERRED CARE (TAX ID)
  • MN Other P00303198 /GP DE6004 RAIL ROAD MEDICARE
  • MN Other 22-255-2298 SELECT CARE (TAX ID)
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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