Tanya Rae Johnson
Ophthalmic
2920 N Cascade Ave
Colorado Springs
, Colorado 80907-6262
Tanya Rae Johnson
Ophthalmic
2920 N Cascade Ave
Colorado Springs
, Colorado 80907-6262
(719) 636-3937
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About
Features
Specialties
- Ophthalmic
Languages spoken
- English
Location
First Address
- Tanya Rae Johnson
- 2920 N Cascade Ave
- Colorado Springs, CO
- Zip : 80907-6262
- Phone : (719) 636-3937
Second Address
- Tanya Rae Johnson
- 2920 N Cascade Ave
- Colorado Springs, CO
- Zip : 80907-6262
- Phone : (719) 636-3937
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 156FX1100X | Ophthalmic |
National Provider Identifier
| NPI | 1790995132 |
|---|---|
| Provider Name | Tanya Rae Johnson |
| First Address | Colorado Springs, CO 80907-6262 |
| Second Address | Colorado Springs, CO 80907-6262 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 23/05/2007 |
| Last Update Date | 08/07/2007 |
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.