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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, O.D., PLLC

NPI Number 1952656589
LBN Legal business name MARK JOHNSON, O.D., PLLC
Authorized official MARK JOHNSON - (OPTOMETRIST)
Entity Organization
Organization subpart 1 No
Enumeration date 07/19/2012
Last updated 07/19/2012 - About 14 years ago
Identifiers
TX License # TX4495
TX License # TX4495T
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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