Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
KENNETH N JOHNSON
ActiveKENNETH N JOHNSON is a Optician, Dispensing healthcare provider located in NIANTIC, Connecticut. NPI 1710580436 is currently active in the NPPES registry. Verify at CMS.
Optician, Dispensing · NIANTIC, CT
Registration Details
- NPI Number
- 1710580436
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Nov 17, 2020 (5.7806404057499 yrs)
- Last Updated
- Nov 17, 2020
- License
-
CT0001217 (CT)
Practice Information
- Address
-
179 FLANDERS RDNIANTIC, CT, 063571206Browse CT providers · Browse ZIP 06357
- Phone
- 8606910279
- Primary Specialty
-
Optician, Dispensing
156FX1800X
Other Optician, Dispensing Providers in NIANTIC, CT
| Name | Credential | NPI |
|---|---|---|
| MR. RONALD HAAS JR. | LICENSED OPTICIAN | 1528677481 |
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.