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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DR. C STEPHEN JOHNSON, OD FAAO

Deactivated Sole Proprietor

DR. C STEPHEN JOHNSON, OD FAAO is a Optometrist healthcare provider located in SAN RAMON, California. NPI 1902804875 is deactivated in the NPPES registry. Verify at CMS.

Optometrist · SAN RAMON, CA

This NPI has been deactivated. The record was deactivated on March 16, 2006. Deactivated NPIs are no longer valid for billing or credentialing. The provider may have retired, changed practice status, or had their NPI administratively deactivated. Verify current licensure status with the NPPES NPI Registry or the relevant state medical board before relying on this record.

Registration Details

NPI Number
1902804875
Provider Type
Individual
Gender
Male
NPI Issued
Jul 13, 2005 (0.67397260273973 yrs)
Last Updated
Oct 14, 2008
Deactivated
Mar 16, 2006
License
5287T (CA)
Sole Proprietor
Yes

Practice Information

Address
2551 SAN RAMON VALLEY BLV
STE 101
SAN RAMON, CA, 945831661
Browse CA providers · Browse ZIP 94583
Phone
9257431222
Fax
9257431221
Primary Specialty
Optometrist
152W00000X

Other Optometrist Providers in SAN RAMON, CA

Name Credential NPI
DR. JAY ROY DELANEY O.D. 1720086135
DR. OSCAR ERIK SMITH OD 1376534065
DR. IVY KAREN SUN OD 1154312916
DR. ANDREW YUAN-SHUOH YANG O.D. 1467432559
DR. BENJAMIN HANBOK NA O.D. 1063454130
DR. FLETCHER H THAMES O.D. 1881768513
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.