Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JEREL DEAN JOHNSON, ABOC OPTICIAN
ActiveJEREL DEAN JOHNSON, ABOC OPTICIAN is a Optician, Dispensing healthcare provider located in COOK, Minnesota. NPI 1750421160 is currently active in the NPPES registry. Verify at CMS.
Optician, Dispensing · COOK, MN
Registration Details
- NPI Number
- 1750421160
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Feb 7, 2007 (19.533197537743 yrs)
- Last Updated
- Jul 8, 2007
- License
-
19618 (MN)
Practice Information
- Address
-
23 EAST VERMILION AVECOOK, MN, 557230127Browse MN providers · Browse ZIP 55723
- Phone
- 2186662879
- Primary Specialty
-
Optician, Dispensing
156FX1800X
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.