NPI 1235401514

Johnson Vision Development Center, LLC

Organisation Pediatric Optometrist Jackson, TN

Practice location

Address: 1012 Greystone Square, Jackson, TN 38305
Phone: (731) 660-1100
Fax: (731) 660-0688

Authorised official

Name: Paula Johnson-Wyatt
Title: Owner/Optometrist
Phone: (731) 660-1100

Registered specialties (2)

Pediatric Optometrist Primary

Eye and Vision Services Providers Taxonomy 152WP0200X

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Eye and Vision Services Providers Taxonomy 152WV0400X

Registry record

NPI: 1235401514
Entity type: Organization
NPI issued: 2 Feb 2012
Record last updated: 25 Sep 2019

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.