NPI 1336315613

Spencer D Johnson OD PC

Organisation Optometrist Draper, UT

Practice location

Address: 12357 S 450 E STE 2, Draper, UT 84020-8127
Phone: (801) 572-9804
Fax: (801) 572-9805

Authorised official

Name: Spencer D Johnson
Title: Owner/Optometrist
Phone: (801) 572-9804

Registered specialties

Optometrist Primary

Eye and Vision Services Providers Taxonomy 152W00000X Licence 5937796-9934 (UT)

Other Optometrist providers in Utah →

Registry record

NPI: 1336315613
Entity type: Organization
NPI issued: 6 May 2008
Record last updated: 6 May 2008

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.