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Jeffery Blake Johnson

Optometrist

3805 West 28th
Pine Bluff , Arkansas 71603

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Jeffery Blake Johnson

Optometrist

3805 West 28th
Pine Bluff , Arkansas 71603

(870) 536-9020

Write a Review Save Call

Jeffery Blake Johnson

Optometrist

3805 West 28th
Pine Bluff , Arkansas 71603

(870) 536-9020 Call

Write a Review Save

About


Features

Language(s) Spoken
English
Ethnic Identity
White / Caucasian

Specialties

  • Optometrist

Languages spoken

  • English

Location

3805 West 28th Pine Bluff , Arkansas 71603

First Address

  • Jeffery Blake Johnson
  • 3805 West 28th
  • Pine Bluff, AR
  • Zip : 71603
  • Fax : (870) 536-9020
  • Phone : (870) 536-4100

Second Address

  • Jeffery Blake Johnson
  • 3805 West 28th
  • Pine Bluff, AR
  • Zip : 71603
  • Fax : (870) 536-9020
  • Phone : (870) 536-4100

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FAQs


Where did Jeffery Blake Johnson attend graduate school?

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Where did Jeffery Blake Johnson do his residency?

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Where did Jeffery Blake Johnson do his fellowship?

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Is Jeffery Blake Johnson board certified?

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What type of doctor is Jeffery Blake Johnson

Optometrist

In what state does Jeffery Blake Johnson practice in?

Arkansas

Where is Jeffery Blake Johnson ’s practice located?

3805 West 28th , Pine Bluff, Arkansas, 71603

What is Jeffery Blake Johnson ’s gender?

Male

Is Jeffery Blake Johnson a sole practitioner?

No

Is Jeffery Blake Johnson accepting new patients?

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What languages does Jeffery Blake Johnson speak?

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Does Jeffery Blake Johnson accept insurance?

Yes, Jeffery Blake Johnson accepts insurance

Does Jeffery Blake Johnson offers telemedicine?

Jeffery Blake Johnson has not indicated if he offers telemedicine

What is Jeffery Blake Johnson ’s professional license number?

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What is Jeffery Blake Johnson ’s NPI number?

1013229442

Does Jeffery Blake Johnson have any license restrictions?

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Scope of Practice

Primary Taxonomy Code Taxonomy Specialty License Number License State
N 152W00000X Optometrist 046.010370 IL
Y 152W00000X Optometrist 2693 AR

National Provider Identifier

NPI 1013229442
Provider Name Jeffery Blake Johnson
First Address Pine Bluff, AR 71603
Second Address Pine Bluff, AR 71603
Gender M
NPI Entity type Individual
Is Sole Proprietor No
Is Organization Subpart N/A
Enumeration Date 14/07/2010
Last Update Date 07/03/2014

NPI Footnotes


What is the National Provider Identifier (NPI)

The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address

The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address

The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code

The code describing the type of health care provider that is being assigned an NPI. The entity type codes are:
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?

Subparts are the components and separate physical locations of organization health care providers. Subpart examples include: Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name

The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.

Provider Enumeration Date

The date the provider was assigned a unique identifier (assigned an NPI)

Last Update Date

The date that a NPI record was last updated or changed

Primary Taxonomy Code

The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPls the license data is associated to the taxonomy code.

Authorized Official Name

The name of the person authorized to submit the PI application or to officially change data for a health care provider.

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