National Provider Identifier Database

RANDI M JOHANSEN, OPTICIAN – NPI #1700054236
Optician


Contact Information

RANDI M JOHANSEN, OPTICIAN
92 RTE 23N
SUITE E
RIVERDALE, NJ07457
Phone: 973-248-1188
Fax: 973-248-1125
Website:
Specialty Taxonomy Code
* Optician 156FX1800X

* Indicates primary specialty

NPI Profile & details for RANDI M JOHANSEN

NPI Number 1700054236
Credentials OPTICIAN
Entity Individual
Enumeration date 02/19/2008
Last updated 02/19/2008 - About 18 years ago
Sole proprietor1 No
Identifiers
  • NJ License #: 31TD00352000
Hospital affiliation n/a

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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