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Contact Information

MARK JOHNSON, O.D., PLLC
6155 EASTEX FWY
SUITE #699
BEAUMONT, TX77706-6718
 Phone: 409-892-4790
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Optometrist

152W00000X 41 Optometry
 

Contact Lens

156FC0800X
 

Contact Lens Fitter

156FC0801X
 

Corneal and Contact Management

152WC0802X 41 Optometry
 

Technician/Technologist

156F00000X
Indicates primary specialty

NPI Profile & details for MARK JOHNSON OD PLLC · (Female)

NPI # 1952656589
Status Active
Credentials
Entity Individual
Enumeration date 07/19/2012
Last updated 07/19/2012 - About 14 years ago
Sole proprietor 1 Not specified
Identifiers
  • TX License # TX4495
  • TX License # TX4495T
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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