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General NPI Number Information
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NPI Number | 1306324660
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Entity Type | Organization
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Legal Business Name | JOHNSON EYE CARE, PA
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Dates
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Enumeration Date | 07/30/2018
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Last Update Date | 07/30/2018
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Provider Practice Location Address
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Address Line | 8511 GEYER SPRINGS RD
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City | LITTLE ROCK
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State | AR
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Zip | 72209-4949
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Country | US
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Telephone | 501-568-4218
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Fax |
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Provider Business Mailing Address
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Address Line | 8511 GEYER SPRINGS RD
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City | LITTLE ROCK
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State | AR
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Zip | 72209-4949
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Country | US
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Telephone | 501-568-4218
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | JAMIE BYRON JOHNSON
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Credential | OD
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Telephone | 501-568-4218
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 152W00000X
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Taxonomy Name | Optometrist
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License Number |
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License Number State |
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