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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

AMY LYN JOHNSON, ABO

Active Sole Proprietor

AMY LYN JOHNSON, ABO is a Optician, Dispensing healthcare provider located in BLAINE, Minnesota. NPI 1629848791 is currently active in the NPPES registry. Verify at CMS.

Optician, Dispensing · BLAINE, MN

Registration Details

NPI Number
1629848791
Provider Type
Individual
Gender
Female
NPI Issued
Jan 8, 2024 (2.6154187141364 yrs)
Last Updated
Jan 8, 2024
License
202432 (MN)
Sole Proprietor
Yes

Practice Information

Address
11505 ULYSSES ST NE
BLAINE, MN, 554344239
Browse MN providers · Browse ZIP 55434
Phone
7633545399
Primary Specialty
Optician, Dispensing
156FX1800X

Other Optician, Dispensing Providers in BLAINE, MN

Name Credential NPI
TAMARA JOY HENDRICKSON ABO, NCLE 1689365736
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.