NPI 1174620835

Tessa C Johnston, OD

Practitioner Optometrist Medford, OR

Practice location

Address: 880 Golf View Dr Suite 101, Medford, OR 97504
Phone: (541) 779-3797
Fax: (541) 608-2138

Registered specialties

Optometrist Primary

Eye and Vision Services Providers Taxonomy 152W00000X Licence 3177AT (OR)

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Registry record

NPI: 1174620835
Entity type: Individual
Sex (as registered): Female
NPI issued: 17 Sep 2006
Record last updated: 11 Jun 2025

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.