National Provider Identifier Database

WALLACE S JOHNSON, OD – NPI #1346209020
Optometrist

Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye.


Contact Information

WALLACE S JOHNSON, OD
775 BUCKSKIN AVE W
PILLAGER, MN56473-2509
Phone: 218-746-2020
Fax: 218-520-0654
Website:
Specialty Taxonomy Code
* Optometrist 152W00000X
Corneal and Contact Management 152WC0802X

* Indicates primary specialty

NPI Profile & details for WALLACE S JOHNSON

NPI Number 1346209020
Credentials OD (Doctor of Optometry)
Entity Individual
Enumeration date 03/21/2006
Last updated 07/24/2025 - About 11 months ago
Sole proprietor1 No
Identifiers
  • MN License #: 2196
  • MN Medicaid: 970525200
  • MN Other: 63372 MPIN
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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