DR. GAVIN LANE JOHNSON (NPI# 1194340745) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1194340745 |
| Entity Type | Individual |
| Full Name | DR. GAVIN LANE JOHNSON |
| Credential | OD |
| Practice Address |
701 2nd Ave Se Quincy WA 98848-1531 |
| Mailing Address |
125 L St Sw Quincy WA 98848-1632 |
| Practice Telephone | 5097871581 |
| Mailing Telephone | 4357303998 |
| Enumeration Date | 2020-06-10 |
| Last Update Date | 2020-06-10 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 152W00000X | Optometrist | 61070866 | WA | Eye and Vision Services Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336481696 | Gavin Lanell Johnson | Behavioral Analyst | 7720 Cowboy Trl, Las Vegas, NV 89131-2131 | 2013-03-25 |
| Street Address |
701 2ND AVE SE |
| City | QUINCY |
| State | WA |
| Zip Code | 98848-1531 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316937840 | Christopher Glen Petersen | Optometrist | 701 2nd Ave Se, Quincy, WA 98848-1531 | 2005-10-26 |
| 1962728295 | Kyle M. Gillespie, O.d, Ltd | Optometrist | 701 2nd Ave Se, Quincy, WA 98848-1531 | 2010-04-12 |
| 1649433459 | Kyle Morgan Gillespie | Optometrist | 701 2nd Ave Se, Quincy, WA 98848-1531 | 2008-07-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346723202 | Robert Eugene Bates | Counselor | 203 Central Ave So, Quincy, WA 98848 | 2018-09-07 |
| 1033691100 | Hector Ismael Zavala | Counselor | 203 So. Central Ave, Quincy, WA 98848 | 2018-09-05 |
| 1871097220 | Maricella Salazar | Counselor | 203 South Central, Quincy, WA 98848 | 2018-03-21 |
| 1982132577 | Madison Gonzalez | Counselor | 203 So. Central, Quincy, WA 98848 | 2017-05-26 |
| 1558806513 | Karla Daniela Morga | Massage Therapist | 21 D St. Sw, Suite B3, Quincy, WA 98848 | 2016-12-30 |
| 1336458967 | Darrin Mitsuo Tamanaha | Dentist | 1450 First Avenue Sw, Quincy, WA 98848 | 2010-09-30 |
| 1104987189 | Steven Allen Adler | Massage Therapist | 723 Central Ave Sw, Quincy, WA 98848 | 2006-12-13 |
| 1164512083 | Grant County Public Hospital District #2 | General Acute Care Hospital | 908 Tenth Avenue Sw, Quincy, WA 98848 | 2006-10-13 |
| 1679684955 | Pamela Jean Duggan | Counselor | 21 D St Sw Suite B-3, Quincy, WA 98848 | 2006-08-31 |
| 1255448650 | Wallace Allyn Newkirk | Family Medicine | 908 Tenth Ave Sw, Quincy, WA 98848 | 2006-08-23 |
| Find all providers in zip 98848 | ||||
| Taxonomy Code | 152W00000X |
| Grouping | Eye and Vision Services Providers |
| Classification | Optometrist |
| Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system. |
| Notes: Source: American Optometric Association (AOA), approved by the AOA’s Board of Trustees, June 21, 2005. [7/1/2006: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083095806 | Mary Bui Vo | Optometrist | 1219 Hancock St, Quincy, MA 02169-4342 | 2015-06-17 |
| 1356775720 | Jason Michael Kvitle | Optometrist | 3325 Maine St, Suite 1, Quincy, IL 62301-4438 | 2013-08-21 |
| 1164855698 | Phuong Thanh Nguyen | Optometrist | 212 Common St, Quincy, MA 02169-4709 | 2013-08-20 |
| 1053684027 | Sandra M. Payton Vision Care, Inc | Optometrist | 1147 Hancock St Ste E, Quincy, MA 02169-4330 | 2012-02-21 |
| 1760715999 | Anjali Pathak | Optometrist | 10 Faxon Ave, 114, Quincy, MA 02169-4682 | 2009-09-04 |
| 1265689863 | Bobak Rafati | Optometrist | 3131 Broadway, Quincy, IL 62301 | 2008-08-26 |
| 1831381045 | Comfort Vision Inc | Optometrist | 221 Quincy Ave Unit B, Quincy, MA 02169-6754 | 2007-08-11 |
| 1275731655 | Jonathan Charles Friden | Optometrist | 68 E Central Ave Ste C, Quincy, CA 95971-9718 | 2007-07-06 |
| 1922120781 | Usana Wu | Optometrist | 200 Cove Way, #504, Quincy, MA 02169-5882 | 2007-04-04 |
| 1730214552 | Dr Sheldon Strauss | Optometrist | 675 Hancock St, Quincy, MA 02170-2826 | 2007-02-22 |
| Find all providers in QUINCY | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.