Brent Johnson, OD

NPI 1689667875 · on the registry since 2005 · sole proprietor

Practice

Address: 435 S Grove St
Suite 2
Blue Earth, MN 56013
Phone: (507) 526-2222
Fax: (507) 526-3927
Organisation at this address: Blue Earth Valley Eye Clinic Ltd
United Clinics Of Faribault County
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 4

Registry record

Primary taxonomy: 152W00000X
152W00000X
Licence states on file: MN
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2013-02-08

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