Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. RYAN SCOTT JOHNSON, O.D.
ActiveDR. RYAN SCOTT JOHNSON, O.D. is a Optometrist healthcare provider located in CHUBBUCK, Idaho. NPI 1184653404 is currently active in the NPPES registry. Verify at CMS.
Optometrist · CHUBBUCK, ID
Registration Details
- NPI Number
- 1184653404
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jun 30, 2006 (20.084850819635 yrs)
- Last Updated
- Jul 19, 2021
- License
-
ODP-1037 (ID)
Practice Information
- Address
-
4240 YELLOWSTONE AVECHUBBUCK, ID, 832022420Browse ID providers · Browse ZIP 83202
- Phone
- 2082382020
- Fax
- 2082382069
- Primary Specialty
-
Optometrist
152W00000X
Other Optometrist Providers in CHUBBUCK, ID
| Name | Credential | NPI |
|---|---|---|
| MICHAEL L. BAIRD | O.D. | 1457524555 |
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.