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Contact Information

GAVIN L JOHNSON OD LLC
34 S MAIN ST
BRIGHAM CITY, UT84302-2527
 Phone: 435-723-2485
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Optometrist

152W00000X 41 Optometry
Indicates primary specialty

NPI Profile & details for GAVIN L JOHNSON OD LLC

NPI Number 1699478545
LBN Legal business name GAVIN L JOHNSON OD LLC
Authorized official GAVIN JOHNSON - (OWNER/OD)
Entity Organization
Organization subpart 1 No
Enumeration date 03/22/2023
Last updated 01/11/2024 - About 2 years ago
Identifiers n/a
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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