RYAN JOHNSON (NPI# 1366706525) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1366706525 |
Entity Type | Individual |
Full Name | RYAN JOHNSON |
Credential | O.D |
Practice Address |
7960 W Rifleman St Suite 150 Boise ID 83704-9064 |
Practice Telephone | 2083778899 |
Mailing Telephone | 2083778899 |
Enumeration Date | 2012-07-02 |
Last Update Date | 2015-07-23 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 152W00000X | Optometrist | 14467 | CA | Eye and Vision Services Providers |
Y | 152WV0400X |
Optometrist Specialization: Vision Therapy |
ODP-100269 | ID | Eye and Vision Services Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1447879259 | Ryan Johnson | Student in an Organized Health Care Education/Training Program | 1155 Mill St. W-11, Reno, NV 89502 | 2020-04-11 |
1235693862 | Ryan Joseph Maurice Johnson | Behavior Technician | 5985 Devecchi Ave Apt 277, Citrus Heights, CA 95621-6091 | 2019-01-28 |
1285084459 | Ryan Johnson | Dentist | 1566 Dunn Ave, Jacksonville, FL 32218-4734 | 2016-06-17 |
1609265818 | Ryan Johnson | Specialist/Technologist | 4336 Dell Rd Apt K, Lansing, MI 48911-8136 | 2015-01-12 |
1790181212 | Ryan Johnson | Specialist/Technologist | 1162 Eden Terrace Dr, Rock Hill, SC 29733-3208 | 2014-11-11 |
1588073431 | Ryan Scott Johnson | Massage Therapist | 10 North Virginia Street, Crystal Lake, IL 60014 | 2014-08-05 |
1235545161 | Ryan Johnson | Counselor | 207 W Branch Ave, Pine Hill, NJ 08021-7084 | 2014-07-11 |
1417369042 | Ryan Alan Johnson | Dentist | 400 Fairview Ave Ste 6, Ponca City, OK 74601-1910 | 2014-06-02 |
1861815482 | Ryan James Johnson | Registered Nurse | 140 Tamarack Ave, Apt 1, Carlsbad, CA 92008-4099 | 2014-02-03 |
1306281027 | Ryan Aaron Johnson | Audiologist | 4190 Bonita Rd Ste 104, Bonita, CA 91902-1330 | 2013-05-08 |
Street Address |
7960 W RIFLEMAN ST SUITE 150 |
City | BOISE |
State | ID |
Zip Code | 83704-9064 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1326129420 | Jeffrey C Johnson | Optometrist | 7960 W Rifleman St, Suite #150, Boise, ID 83704-9066 | 2006-10-17 |
1376973826 | Susan Devine | Technician/Technologist | 7960 W Rifleman St, #155, Boise, ID 83704-9064 | 2013-11-20 |
1669808846 | Advanced Vision Therapy Center LLC | Optometrist | 7960 W Rifleman St, Suite 150, Boise, ID 83704-9064 | 2013-09-19 |
1588914071 | Jill Kronberg | Optometrist | 7960 W Rifleman St, Suite 150, Boise, ID 83704-9064 | 2012-09-12 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1215535893 | Laura Diggs | Counselor | 400 North Benjamin Lane, Suite 200, Boise, ID 83704 | 2020-10-15 |
1891304002 | Tree City Family Dental | Dentist | 7301 W. Emerald St Ste. 102, Boise, ID 83704 | 2020-07-24 |
1982230710 | Jessica Wynn Councell | Midwife | 1072 N Liberty St Ste 100, Boise, ID 83704 | 2020-03-12 |
1699307124 | Isabel Burns Bruce | Registered Nurse | 777 N Raymond Street, Boise, ID 83704 | 2020-02-12 |
1558903328 | Daring In Idaho, LLC | Social Worker | 413 N Allumbaugh Street, Suite 102, Boise, ID 83704 | 2019-10-14 |
1053960286 | Kyle Hiromi Hatanaka | Acupuncturist | 9450 #120 Fairview Avenue, Boise, ID 83704 | 2019-09-10 |
1700447141 | Katie Elizabeth Nichols | Physician Assistant | 1072 N Liberty St Ste 201, Boise, ID 83704 | 2019-06-26 |
1588164727 | Cory Michael Sims | Counselor | 6550 W. Emerald St #112, Boise, ID 83704 | 2018-02-14 |
1477072270 | Matthew Lee Love | Non-emergency Medical Transport (VAN) | 6933 W. Stratton St, Boise, ID 83704 | 2017-09-12 |
1942735949 | Dalana Sue Thompson | Counselor | 9196 Emerald St Suite #130, Boise, ID 83704 | 2017-04-27 |
Find all providers in zip 83704 |
Taxonomy Code | 152WV0400X |
Grouping | Eye and Vision Services Providers |
Classification | Optometrist |
Specialization | Vision Therapy |
Optometrists who specialize in vision therapy as a treatment process used to improve vision function. It includes a broad range of developmental and rehabilitative treatment programs individually prescribed to remediate specific sensory, motor and/or visual perceptual dysfunctions. |
Notes: Source: American Optometric Association [1/1/2009: added definition, added source] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1114172723 | Sl Vision Pllc | Optometrist | 13150 W Persimmon Ln, Boise, ID 83713-1986 | 2008-11-24 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1629615158 | Bluebird Family Eye Care Pllc | Optometrist | 720 N Meridian St Ste A, Blackfoot, ID 83221-4936 | 2019-12-03 |
1952963399 | Idaho Vision Development Center Pllc | Optometrist | 1536 Midway Dr, Ammon, ID 83406-6912 | 2019-07-06 |
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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.