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MR. BRYAN LOWELL JOHNSON OD NPI 1184608200


NPI Information

NPI: 1184608200
Provider Name: MR. BRYAN LOWELL JOHNSON, OD
Classification: Optometrist - 152W00000X
Entity Type: Individual
Address:
3630 11TH AVE NW
ROCHESTER, MN
ZIP 55901
Phone: (507) 288-2457
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MR. Bryan Lowell Johnson, OD is an optometrist in Rochester, MN. The provider is doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system. MR. Bryan Lowell Johnson, OD NPI is 1184608200. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

3630 11TH AVE NW
ROCHESTER, MN
ZIP 55901-276
Phone: (507) 288-2457
Fax: (507) 288-1299

The enumeration date for this NPI number is 12/1/2005 and was last updated on 5/28/2009.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1152W00000XOptometrist2090MINNESOTAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1410001018MEDICARE ID-TYPE UNSPECIFIEDMINNESOTA
24C934J0OTHERMINNESOTABCBS OF MN
31225850001MEDICARE NSCMINNESOTA
4HP44093OTHERHEALTH PARTNERS
52201134OTHERMEDICA CHOICE SELECT
601017733OTHERPREFERRED ONE
7549823700MEDICAIDMINNESOTA
8T88909MEDICARE UPIN

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.