NPI 1760052401

Rsjohnson OD PLLC

Organisation Optometrist Chubbuck, ID

Practice location

Address: 4240 Yellowstone Ave, Chubbuck, ID 83202-2420
Phone: (208) 241-9145
Mailing address: 12482 Dallin Rd, Pocatello, ID 83202-5073

Authorised official

Name: Ryan S Johnson
Title: Owner
Phone: (208) 241-9145

Registered specialties

Optometrist Primary

Eye and Vision Services Providers Taxonomy 152W00000X

Other Optometrist providers in Idaho →

Registry record

NPI: 1760052401
Entity type: Organization
NPI issued: 25 Jun 2021
Record last updated: 25 Jun 2021

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.