Ryan Johnson, O.D

NPI 1184653404 · on the registry since 2006

Practice

Address: 4240 Yellowstone Ave
Chubbuck, ID 83202
Phone: (208) 238-2020
Fax: (208) 238-2069
Organisation at this address: Walmart Inc.
Baird Optical Pc
Rsjohnson Od Pllc
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 7

Registry record

Primary taxonomy: 152W00000X
152W00000X
Licence states on file: ID
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2021-07-19

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Idaho