MEDICARE: CURTISS R JOHNSON OD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	152W00000X	Optometrist	687	NV

General Provider Information

NPI Number	:	1245234921
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CURTISS R JOHNSON OD

Provider Business Mailing Address
First Line	:	415 US HIGHWAY 95A S UNIT A
Second Line	:
City	:	FERNLEY
State	:	NV
Zip	:	89408-9261
Country	:	US
Telephone Number	:	775-575-5700
Fax Number	:	775-575-5702

Provider Business Practice Location Address
First Line	:	415 US HIGHWAY 95A S UNIT A
Second Line	:
City	:	FERNLEY
State	:	NV
Zip	:	89408-9261
Country	:	US
Telephone Number	:	775-575-5700
Fax Number	:	775-575-5702

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/09/2005
Last Update Date	:	11/01/2023

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Directions to “ CURTISS R JOHNSON OD” Practice Location

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