Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JEFFERY BLAKE JOHNSON, OD
ActiveJEFFERY BLAKE JOHNSON, OD is a Optometrist healthcare provider located in PINE BLUFF, Arkansas. NPI 1013229442 is currently active in the NPPES registry. Verify at CMS.
Optometrist · PINE BLUFF, AR
Registration Details
- NPI Number
- 1013229442
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jul 14, 2010 (16.045532263074 yrs)
- Last Updated
- Mar 7, 2014
- Licenses
-
2693 (AR)046.010370 (IL)
Practice Information
- Address
-
3805 WEST 28THPINE BLUFF, AR, 71603Browse AR providers · Browse ZIP 71603
- Phone
- 8705364100
- Fax
- 8705369020
- Primary Specialty
-
Optometrist
152W00000X
- Additional Specialty
- Optometrist
Other Optometrist Providers in PINE BLUFF, AR
| Name | Credential | NPI |
|---|---|---|
| DR. WILLIAM BRENT HALL | O.D. | 1457390080 |
| TIM E ELCYZYN | OD | 1164433876 |
| STEPHANIE WILLETT | O.D. | 1578899506 |
| MR. MASON CHARLES SEELINGER | O.D. | 1467878520 |
| DR. LOGAN BONE | OD | 1376114470 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.