OWEN CANNON JOHNSON OD

INDIGO VISION CENTER PA

Dr OWEN CANNON JOHNSON OD is a male medical professional, specializing in Optometry. He graduated in 2003.

Contact

INDIGO VISION CENTER PA

302 CHURCH ST
GEORGETOWN
SC
294402406

Tel: 8435462244

OWEN CANNON JOHNSON OD Information

Npi 1346292059
Pac Id 9931094828
Professional Enrollment Id I20040219000166
Last Name JOHNSON
First Name OWEN
Middle Name CANNON
Suffix
Gender M
Credential OD
Medical School Name OTHER
Graduation Year 2003
Primary Specialty OPTOMETRY
Secondary Specialty 1
Secondary Specialty 2
Secondary Specialty 3
Secondary Specialty 4
All Secondary Specialties
Organization Legal Name INDIGO VISION CENTER PA
Group Practice Pac Id 0244280501
Number Of Group Practice Members 2
Line 1 Street Address 302 CHURCH ST
Line 2 Street Address
Marker Of Address Line 2 Suppression
City GEORGETOWN
State SC
Zip Code 294402406
Phone Number 8435462244
Hospital Affiliation Ccn 1
Hospital Affiliation Lbn 1
Hospital Affiliation Ccn 2
Hospital Affiliation Lbn 2
Hospital Affiliation Ccn 3
Hospital Affiliation Lbn 3
Hospital Affiliation Ccn 4
Hospital Affiliation Lbn 4
Hospital Affiliation Ccn 5
Hospital Affiliation Lbn 5
Professional Accepts Medicare Assignment M

Do you know OWEN CANNON JOHNSON OD?

Leave your comments, questions and feedback on this listing below. You can also correct any listing errors or omissions.