MISS TIBITHA JANE JOHNSTON LDO NPI 1578650149

NPI Information

NPI: 1578650149
Provider Name: MISS TIBITHA JANE JOHNSTON, LDO
Classification: Technician/Technologist - 156FC0800X
Entity Type: Individual

Specialization: Contact Lens

Address:
3600 N INTERSTATE AVE
PORTLAND, OR
ZIP 97227
Phone: (503) 249-3429
Get Directions

MISS Tibitha Jane Johnston, LDO is a contact lens technician technologist in Portland, OR. The provider is a contact lens optician or other ancillary support staff person who, where authorized by state law and trained or certified to do so, may fit or dispense contact lenses to a patient based on the prescription of an optometrist or medical physician. MISS Tibitha Jane Johnston, LDO NPI is 1578650149. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

3600 N INTERSTATE AVE
PORTLAND, OR
ZIP 97227-106
Phone: (503) 249-3429

The enumeration date for this NPI number is 10/6/2006 and was last updated on 7/8/2007.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	156FC0800X	Technician/Technologist	Contact Lens			Yes
2	156FX1800X	Technician/Technologist	Optician	D2024	WASHINGTON	X

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

NPI Synchronization or Removal

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