DR. BRENT WARREN JOHNSON (NPI# 1710031463) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1710031463 |
| Entity Type | Individual |
| Full Name | DR. BRENT WARREN JOHNSON |
| Credential | O.D. |
| Practice Address |
700 Se Chkalov Dr Suite 5 Vancouver WA 98683-5202 |
| Practice Telephone | 3602560612 |
| Practice Fax Number | 3608965503 |
| Mailing Telephone | 3602560612 |
| Mailing Fax Number | 3608965503 |
| Enumeration Date | 2007-01-22 |
| Last Update Date | 2008-03-15 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 152W00000X | Optometrist | 1650TX | WA | Eye and Vision Services Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WA | 2003523 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861985574 | Brent David Johnson | Dentist | 70 Westridge Pkwy Ste 200, Mcdonough, GA 30253-3048 | 2018-06-08 |
| 1306233283 | Brent Johnson | Contractor | 404 Cayland Ct, Chesapeake, VA 23322-3624 | 2015-04-18 |
| 1558760835 | Brent Johnson | Physical Therapist | 1260 State Hwy 25, Monticello, MN 55362-8447 | 2014-08-22 |
| 1710021670 | Brent Johnson | Dentist | 6351 Preston Rd, Suite 301, Frisco, TX 75034-5805 | 2007-02-16 |
| 1790708857 | Brent David Johnson | Dentist | 3901 Pine Lake Rd Ste 250, Lincoln, NE 68516-5497 | 2006-07-26 |
| 1093715013 | Brent M Johnson | Physician Assistant | 5656 W Us Highway 10, Ludington, MI 49431-2454 | 2005-08-01 |
| 1205309309 | Brent H Johnson | Registered Nurse | 509 Biltmore Ave, Asheville, NC 28801-4601 | 2019-01-10 |
| 1659859270 | Brent D Johnson | Physical Therapist | 103 Whitewater Pl Ste D, Polson, MT 59860-4502 | 2018-08-06 |
| 1982028163 | Brent Johnson | Social Worker | 1918 N Main St, Findlay, OH 45840-3818 | 2014-02-10 |
| 1578614160 | Brent Corin Johnson | Dentist | 1216 Thomas St, Memphis, TN 38107-1703 | 2007-01-12 |
| Street Address |
700 SE CHKALOV DR SUITE 5 |
| City | VANCOUVER |
| State | WA |
| Zip Code | 98683-5202 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235761222 | Nathaniel James Eugene Powell | Behavior Technician | 4101se 192nd Ave, Ste 101, Vancouver, WA 98683 | 2020-02-07 |
| 1295294973 | Ubmhc1, LLC | Clinical Medical Laboratory | 18110 Southeast 34th St, Building 2, Suite 240, Vancouver, WA 98683 | 2019-03-13 |
| 1982116695 | Amy K Adams | Massage Therapist | 2716 Se 169th Ave, X-232, Vancouver, WA 98683 | 2017-11-03 |
| 1477088920 | Alexandra Ransonet | Dental Hygienist | 19111 Se 34th. St., Vancouver, WA 98683 | 2017-04-21 |
| 1639618630 | Digestive Gi Care | Internal Medicine | 305 Sw Chkalov Dr, 111-140, Vancouver, WA 98683 | 2017-02-23 |
| 1447706742 | Jennifer Horst | Massage Therapist | 3401 Se 192nd. Ave. Suite 107, Vancouver, WA 98683 | 2016-08-28 |
| 1154702728 | Kacie Marie Hamreus | Physician Assistant | 3101 Se 192nd Avenue, Vancouver, WA 98683 | 2015-06-09 |
| 1851782338 | Kathryn Wiedeman | Physical Therapy Assistant | 801 Se Park Crestt Ave, Vancouver, WA 98683 | 2015-02-05 |
| 1407255326 | Jesse Ryan Moses | Dentist | 16600 Se 15th Street, Suite A, Vancouver, WA 98683 | 2014-08-15 |
| 1366869893 | Stephen J Wold II | Podiatrist | 16701 Ne Mcgillivray Blvd, Ste 220, Vancouver, WA 98683 | 2014-03-21 |
| Find all providers in zip 98683 | ||||
| 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 |
|---|---|---|---|---|
| 1831730365 | Pacific Eye Group, PC | Optometrist | 8700 Ne Vancouver Mall Dr Ste 168, Vancouver, WA 98662-7922 | 2019-10-07 |
| 1831753219 | Modern Optometry LLC | Optometrist | 3616 R St, Vancouver, WA 98663-2542 | 2019-05-01 |
| 1538691563 | Daniel & Max, LLC | Optometrist | 7720 Ne Highway 99, Vancouver, WA 98665-8858 | 2017-03-29 |
| 1942655246 | Richardson Eye Clinic, Pllc | Optometrist | 12116 Se Mill Plain Blvd Ste 1, Vancouver, WA 98684-6000 | 2016-04-25 |
| 1063866424 | Kim Forgione | Optometrist | 1900 Ne 162nd Ave Ste D103, Vancouver, WA 98684 | 2016-04-21 |
| 1215323464 | Shannon Soper Jankowski | Optometrist | 14415 Se Mill Plain Blvd Ste 115b, Vancouver, WA 98684-6985 | 2015-04-14 |
| 1164854725 | Anne Song Okerson | Optometrist | 505 Ne 87th Ave Ste 100, Vancouver, WA 98664-4801 | 2013-08-06 |
| 1972854222 | Firas Omar Basha | Optometrist | 8101 Ne Parkway Dr Ste D2&d4, Vancouver, WA 98662-7911 | 2012-09-26 |
| 1740515824 | Vitaliy Pelikhatyy | Optometrist | 7101 Ne 109 St., D-27, Vancouver, WA 98686 | 2009-10-07 |
| 1336370964 | Shelby Wickhorst Od PC | Optometrist | 1901 Ne 162nd Ave, Suite D-102, Vancouver, WA 98684-3009 | 2009-07-30 |
| Find all providers in VANCOUVER | ||||
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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.