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DR. EDITHA JOHNSON D.O NPI 1790165173


NPI Information

NPI: 1790165173
Provider Name: DR. EDITHA JOHNSON, D.O
Classification: Ophthalmology - 207WX0109X
Entity Type: Individual

Specialization: Neuro-ophthalmology

Organization: HARTFORD HEALTHCARE MEDICAL GROUP SPECIALISTS LLC

PECOS Registration: Yes

Address:
85 SEYMOUR ST # 825
HARTFORD, CT
ZIP 06106
Phone: (860) 545-5000
Get Directions

DR. Editha Johnson, D.O is a neuro-ophthalmology ophthalmology in Hartford, CT with 9 years of experience. The provider is a neuro-ophthalmologist is a subspecialist of ophthalmology. This physician evaluates, treats, and studies disorders of the eye, orbit and nervous system having to do with interactions of the visual motor and visual sensory systems with the central nervous system. Neuro-ophthalmologists manage patients with complex and severe neuro-ophthalmological disorders. DR. Editha Johnson, D.O NPI is 1790165173. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

Education
Medical School: NEW YORK COLLEGE OF OSTEO MEDICINE OF NEW YORK INSTITUTE OF TECHNOLOGY
Graduation Year:2015

The provider's business location address is:

85 SEYMOUR ST # 825
HARTFORD, CT
ZIP 06106-501
Phone: (860) 545-5000

The NPI 1790165173 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 6/1/2015 and was last updated on 7/30/2020.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207WX0109XOphthalmologyNeuro-ophthalmology66348CONNECTICUTYes
22084N0400XPsychiatry & NeurologyNeurology66348CONNECTICUTNo

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: 11/14/2023

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