Search › Washington › 152W00000X
Brent Johnson, O.D
NPI 1710031463 · on the registry since 2007 · sole proprietor
Practice
- Address
- 700 Se Chkalov Dr
Suite 5
Vancouver, WA 98683 - Phone
- (360) 256-0612
- Fax
- (360) 896-5503
- Organisation at this address
- Ray Vision Llc
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 2
Registry record
- Primary taxonomy
- 152W00000X
152W00000X
- Licence states on file
- WA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2008-03-15
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 Washington