| Doctor Name: | BARBARA L JOHNSON |
| NPI Number: | 1083942775 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | |
| License Number: | |
| Business Practice Address: | 615 S Mill St Suite 2 Fergus Falls, MN - 565372756 |
| Business Phone Number: | 2189982020 |
| Business Fax Number: | 2189982098 |
| Mailing Address: | 705 Two Rivers Rd, FERGUS FALLS |
| State: | MN |
| Postal Code: | 565374007 |
| Phone Number: | 2187395755 |
| Fax Number: | |
| NPI Enumeration Date: | 11/18/2009 |
| NPI Last Update Date: | 11/18/2009 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 156FX1800X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | |
| Taxonomy Type: | Eye and Vision Services Providers |
| Taxonomy Classification: | Technician/Technologist |
| Taxonomy Specialization: | Optician |
| Taxonomy Definition: | |