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General NPI Number Information
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NPI Number | 1487750683
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Entity Type | Organization
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Legal Business Name | JOHNSON CURRAN OPTOMETRY CENTERS PC
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Dates
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Enumeration Date | 09/15/2006
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Last Update Date | 03/06/2025
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Provider Practice Location Address
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Address Line | 5049 VALLEY VIEW BLVD NW
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City | ROANOKE
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State | VA
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Zip | 24012-2074
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Country | US
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Telephone | 540-362-7565
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Fax | 540-563-0441
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Provider Business Mailing Address
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Address Line | 5049 VALLEY VIEW BLVD NW
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City | ROANOKE
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State | VA
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Zip | 24012-2074
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Country | US
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Telephone | 540-362-7565
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Fax | 540-563-0441
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Authorized Official
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Title or Position | DOCTOR/VICE PRESIDENT
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Name | MICHAEL A JOHNSON
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Credential | OD
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Telephone | 540-362-7565
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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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