Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
BRENT DANIEL JOHNSON, OD
Active Sole ProprietorBRENT DANIEL JOHNSON, OD is a Optometrist healthcare provider located in BLUE EARTH, Minnesota. NPI 1689667875 is currently active in the NPPES registry. Verify at CMS.
Optometrist · BLUE EARTH, MN
Registration Details
- NPI Number
- 1689667875
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Aug 24, 2005 (20.964612507435 yrs)
- Last Updated
- Feb 8, 2013
- License
-
2195 (MN)
- Sole Proprietor
- Yes
Practice Information
- Address
-
435 S GROVE STSUITE 2BLUE EARTH, MN, 560132604Browse MN providers · Browse ZIP 56013
- Phone
- 5075262222
- Fax
- 5075263927
- Primary Specialty
-
Optometrist
152W00000X
Other Optometrist Providers in BLUE EARTH, MN
| Name | Credential | NPI |
|---|---|---|
| BRITTANY NITA FOX | O.D. | 1568811040 |
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.