NPI Database
Lookup NPI Numbers from the NPI Registry

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 Specialty Code Provider Type

Optometrist

152W00000X 41 Optometry
 

Corneal and Contact Management

152WC0802X 41 Optometry
Indicates primary specialty

NPI Profile & details for WALLACE S JOHNSON · (Male)

NPI Number 1346209020
Status Active
Credentials OD (Doctor of Optometry)
Entity Individual
Enumeration date 03/21/2006
Last updated 07/24/2025 - About 11 months ago
Sole proprietor 1 No
Identifiers
  • MN License # 2196
  • MN Medicaid 970525200
  • MN Other 63372 MPIN
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.

Reviews for WALLACE S JOHNSON

Thanks - Your review has been submitted! Please note that if we find that this review has violated our terms or is simply deemed unacceptable, we will remove it without notice.

There are currently no reviews for WALLACE S JOHNSON
Be the first to post a comment or review.


Read our reviews / comments about this provider to help you decide if they are right for you. Share your experience by posting a comment or review about this provider to help others decide which is right for them.

Nearby Optometrists
LAKES AREA EYECARE, INC.
7734 EXCELSIOR RD. N.
BAXTER, MN
STAPLES EYE CLINIC PSC
922 US 10 EAST
STAPLES, MN
JOHN KLOSTER
4461 MAIN ST,
PEQUOT LAKES, MN
MELISSA M HINDERSCHIED, OD
1948 1ST AVE NE
LITTLE FALLS, MN
COREY H TABBERT, OD
222 SE FIRST STREET
WADENA, MN
VANDESTEEG & LARSON OPTOMETRIC CLINIC, PA
240 CENTRAL AVE
LONG PRAIRIE, MN
AMANDA WAHLIN
201 9TH ST W
ADA, MN
THRIFTY DRUG STORES INC
319 W MAIN ST
ADA, MN
MARY E VANCE, FNP
9900 BREN ROAD EAST
008-B213, MN

  View all Optometrists
v2.403