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Contact Information

SHANE JOHNSTON, OD
7014 E CAMELBACK RD
SUITE #590
SCOTTSDALE, AZ85251-1227
 Phone: 480-840-0333
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Optometrist

152W00000X 41 Optometry
 

Sports Vision

152WS0006X 41 Optometry
Indicates primary specialty

NPI Profile & details for SHANE JOHNSTON · (Male)

NPI Number 1356791545
Status Active
Credentials OD (Doctor of Optometry)
Entity Individual
Enumeration date 06/17/2016
Last updated 06/20/2016 - About 10 years ago
Sole proprietor 1 No
Identifiers
  • AZ License # 2108
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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