| Doctor Name: | KIMBERLY A JOHNSON |
| NPI Number: | 1407887755 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | O.D. |
| License Number: | 1232 |
| Business Practice Address: | 902 Avenue D Ste 102b Gothenburg, NE - 691381955 |
| Business Phone Number: | 3085372020 |
| Business Fax Number: | 3085372280 |
| Mailing Address: | 1214 Countryside Ln, GOTHENBURG |
| State: | NE |
| Postal Code: | 691382500 |
| Phone Number: | 3085373166 |
| Fax Number: | |
| NPI Enumeration Date: | 07/05/2006 |
| NPI Last Update Date: | 02/21/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 152WC0802X |
| License Number: | 1232 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | NE |
| 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 |