Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. GARY JOHANSON, LDO
ActiveMR. GARY JOHANSON, LDO is a Optician, Dispensing healthcare provider located in DAYTONA BEACH, Florida. NPI 1871286153 is currently active in the NPPES registry. Verify at CMS.
Optician, Dispensing · DAYTONA BEACH, FL
Registration Details
- NPI Number
- 1871286153
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jun 1, 2023 (3.1852104980036 yrs)
- Last Updated
- Jun 1, 2023
- License
-
01914 (FL)
Practice Information
- Address
-
1460 CORNERSTONE BLVDDAYTONA BEACH, FL, 321177174Browse FL providers · Browse ZIP 32117
- Phone
- 3867603330
- Fax
- 3862742051
- Primary Specialty
-
Optician, Dispensing
156FX1800X
Other Optician, Dispensing Providers in DAYTONA BEACH, FL
| Name | Credential | NPI |
|---|---|---|
| LAURA CEUNINCK | DO | 1154014967 |
| DENISE ANN READ | DO48699 | 1063105872 |
| ANTHONY MICHAEL AMATO | — | 1376228031 |
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.