KENNETH N JOHNSON NPI 1710580436

NPI Information

  • NPI: 1710580436
  • Provider Name: KENNETH N JOHNSON
  • Classification: Technician/Technologist - 156FX1800X
  • Specialization: Optician
  • Entity Type: Individual
  • Address: 179 FLANDERS RD
    NIANTIC, CT
    ZIP 06357
  • Phone: (860) 691-0279

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NPI Details

Kenneth N Johnson is an optician technician technologist in Niantic, CT. 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. Kenneth N Johnson NPI is 1710580436. 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:

179 FLANDERS RD
NIANTIC, CT
ZIP 06357-206
Phone: (860) 691-0279

The enumeration date for this NPI number is 11/17/2020 and was last updated on 11/17/2020.

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/TechnologistOpticianCT0001217CONNECTICUTYes

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 Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
11326280512MEDICAIDCONNECTICUT
20001217MEDICAIDCONNECTICUT

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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