NPI 1073591939

Carol H Johnson, OD

Practitioner Optometrist Minneapolis, MN

Practice location

Address: 909 Fulton St SE, Minneapolis, MN 55455-4800
Phone: (763) 782-6400
Mailing address: 2925 Chicago Ave, Minneapolis, MN 55407-1321

Registered specialties

Optometrist Primary

Eye and Vision Services Providers Taxonomy 152W00000X Licence 2134 (MN)

Other Optometrist providers in Minnesota →

Registry record

NPI: 1073591939
Entity type: Individual
Sex (as registered): Female
NPI issued: 2 Jan 2006
Record last updated: 26 Jan 2024

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.