Dr. Wallace Scott Johnson
Optometrist Optomitrist - Corneal and Contact Lenses
702 10th St
Worthington
, Minnesota 56187-2767
Dr. Wallace Scott Johnson
Optometrist Optomitrist - Corneal and Contact Lenses
702 10th St
Worthington
, Minnesota 56187-2767
(507) 376-4805
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About
Features
Specialties
- Optometrist
- Optomitrist - Corneal and Contact Lenses
Languages spoken
- English
Location
First Address
- Dr. Wallace Scott Johnson
- Po Box 726
- Worthington, MN
- Zip : 56187-0726
- Fax : (507) 376-4805
- Phone : (507) 376-5535
Second Address
- Dr. Wallace Scott Johnson
- 702 10th St
- Worthington, MN
- Zip : 56187-2767
- Fax : (507) 376-4805
- Phone : (507) 376-5535
Reviews
FAQs
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 152W00000X | Optometrist | 2196 | MN |
| N | 152WC0802X | Optomitrist - Corneal and Contact Lenses | 2196 | MN |
National Provider Identifier
| NPI | 1346209020 |
|---|---|
| Provider Name | Dr. Wallace Scott Johnson |
| First Address | Worthington, MN 56187-0726 |
| Second Address | Worthington, MN 56187-2767 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 21/03/2006 |
| Last Update Date | 03/03/2015 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 63372 | MPIN (01) | MN |
| 970525200 | (05) | MN |
| U02812 | (02) | MN |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.