Doctor Name: | DR. ANN M JOHANNSEN |
NPI Number: | 1114078771 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | OD |
License Number: | 7500T |
Business Practice Address: | 695 W Foothill Blvd Claremont, CA - 917113490 |
Business Phone Number: | 9096257861 |
Business Fax Number: | 9096210742 |
Mailing Address: | 695 W Foothill Blvd, CLAREMONT |
State: | CA |
Postal Code: | 917113490 |
Phone Number: | 9096257861 |
Fax Number: | 9096210742 |
NPI Enumeration Date: | 01/12/2007 |
NPI Last Update Date: | 10/06/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 152WC0802X |
License Number: | 7500T |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | CA |
Taxonomy Type: | Eye and Vision Services Providers |
Taxonomy Classification: | Optometrist |
Taxonomy Specialization: | Corneal and Contact Management |
Taxonomy Definition: | The professional activities performed by an Optometrist related to the fitting of contact lenses to an eye, ongoing evaluation of the cornea |