NPI 1013229442

Jeffery Blake Johnson, OD

Practitioner Optometrist Pine Bluff, AR

Practice location

Address: 3805 West 28th, Pine Bluff, AR 71603
Phone: (870) 536-4100
Fax: (870) 536-9020

Registered specialties (2)

Optometrist Primary

Eye and Vision Services Providers Taxonomy 152W00000X Licence 2693 (AR)

Other Optometrist providers in Arkansas →

Optometrist

Eye and Vision Services Providers Taxonomy 152W00000X Licence 046.010370 (IL)

Registry record

NPI: 1013229442
Entity type: Individual
Sex (as registered): Male
NPI issued: 14 Jul 2010
Record last updated: 7 Mar 2014

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.