Search › California › 156FX1800X
Randel Johanson, R.D.O
NPI 1902988074 · on the registry since 2006 · sole proprietor
Practice
- Address
- 1722 Mangrove Ave
Suite 32
Chico, CA 95926 - Phone
- (530) 895-1474
- Fax
- (530) 895-1441
- Organisation at this address
- Chico Optical Dispensers
Inferred from a shared address, not stated in the registry.
Registry record
- Primary taxonomy
- 156FX1800X
156FX1800X
- Licence states on file
- CA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2007-07-08
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 California