AMY LYN JOHNSON ABO NPI 1629848791

NPI Information

  • NPI: 1629848791
  • Provider Name: AMY LYN JOHNSON, ABO
  • Classification: Technician/Technologist - 156FX1800X
  • Specialization: Optician
  • Entity Type: Individual
  • Address: 11505 ULYSSES ST NE
    BLAINE, MN
    ZIP 55434
  • Phone: (763) 354-5399

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NPI Details

Amy Lyn Johnson, ABO is an optician technician technologist in Blaine, MN. The provider is opticians help fit eyeglasses and contact lenses, following prescriptions from Ophthalmologists and Optometrists. They also help customers decide which eyeglass frame or contact lenses to buy. Amy Lyn Johnson, ABO NPI is 1629848791. 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:

11505 ULYSSES ST NE
BLAINE, MN
ZIP 55434-239
Phone: (763) 354-5399

The enumeration date for this NPI number is 1/8/2024 and was last updated on 1/8/2024.

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
1156FX1800XTechnician/TechnologistOptician202432MINNESOTAYes

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: 11/21/2025

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