Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. KYLE DALE JOHNSON, O.D.
ActiveDR. KYLE DALE JOHNSON, O.D. is a Optometrist healthcare provider located in CLINTON, Missouri. NPI 1699785410 is currently active in the NPPES registry. Verify at CMS.
Optometrist · CLINTON, MO
Registration Details
- NPI Number
- 1699785410
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Aug 8, 2006 (20.022247496163 yrs)
- Last Updated
- Feb 7, 2012
- Licenses
-
2003014755 (MO)1687 (KS)
Practice Information
- Address
-
1104 E OHIO STCLINTON, MO, 647352458Browse MO providers · Browse ZIP 64735
- Phone
- 6608647116
- Fax
- 6608647124
- Primary Specialty
-
Optometrist
152W00000X
- Additional Specialty
- Optometrist
Other Optometrist Providers in CLINTON, MO
| Name | Credential | NPI |
|---|---|---|
| DR. LISA K PARKS | OD | 1063408169 |
| DANIEL JOHN WEBER | O.D. | 1669521753 |
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.