KIMBERLY D JOHNSON OD

PACIFIC EYE SURGEONS A CALIFORNIA PROFESSIONAL MEDICAL CORPORATION

Dr KIMBERLY D JOHNSON OD is a female medical professional, specializing in Optometry. She graduated in 2006 from Southern California College Of Optometry.

Contact

PACIFIC EYE SURGEONS A CALIFORNIA PROFESSIONAL MEDICAL CORPORATION

931 OAK PARK BLVD
SUITE 201
PISMO BEACH
CA
934493404

Tel: 8054736640

KIMBERLY D JOHNSON OD Information

Npi 1366595639
Pac Id 6103922950
Professional Enrollment Id I20070510000569
Last Name JOHNSON
First Name KIMBERLY
Middle Name D
Suffix
Gender F
Credential OD
Medical School Name SOUTHERN CALIFORNIA COLLEGE OF OPTOMETRY
Graduation Year 2006
Primary Specialty OPTOMETRY
Secondary Specialty 1
Secondary Specialty 2
Secondary Specialty 3
Secondary Specialty 4
All Secondary Specialties
Organization Legal Name PACIFIC EYE SURGEONS A CALIFORNIA PROFESSIONAL MEDICAL CORPORATION
Group Practice Pac Id 7810947397
Number Of Group Practice Members 14
Line 1 Street Address 931 OAK PARK BLVD
Line 2 Street Address SUITE 201
Marker Of Address Line 2 Suppression
City PISMO BEACH
State CA
Zip Code 934493404
Phone Number 8054736640
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 Y

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