Search › Minnesota › 152W00000X
Wallace Johnson, O.D
NPI 1346209020 · on the registry since 2006
Practice
- Address
- 775 Buckskin Ave W
Pillager, MN 56473 - Phone
- (218) 746-2020
- Fax
- (218) 520-0654
- Organisation at this address
- Up North Eye Care, P.A.
Inferred from a shared address, not stated in the registry.
Registry record
- Primary taxonomy
- 152W00000X
152W00000X
- Also registered as
- 152WC0802X
- Licence states on file
- MN
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2025-07-24
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 Minnesota