Shane Johnson, OD

Optometrist · Westminster, CO

Individual Active NPI

NPI number 1508923731

Practice location

5403 W 88TH Ave
SP #45
Westminster, CO 80031-3084
Phone
(303) 428-1220
Fax
(303) 657-8689

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NPI record

NPI
1508923731
Entity type
Individual (Type 1)
Enumeration date
January 3, 2007
Last updated
July 8, 2007
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Optometrist Primary 152W00000X 2262 CO

Mailing address

11103 West Ave
Ste 6
San Antonio, TX 78213-1370
Phone
(210) 524-6803
Fax
(210) 524-6587

About Dr. Johnson

Shane Johnson, OD is a healthcare provider registered in the NPI registry with the primary taxonomy Optometrist (code 152W00000X). The practice location is 5403 W 88TH Ave, SP #45, Westminster, CO 80031-3084. The NPI number 1508923731 was assigned on January 3, 2007 and the record was last updated on July 8, 2007.

Dr. Johnson lists a license in the registry: #2262 (CO) for Optometrist. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Shane Johnson, OD?

The NPI number is 1508923731.

What is the phone number of Dr. Johnson?

The phone number listed for the practice location is (303) 428-1220.

Where is Dr. Johnson located?

5403 W 88TH Ave, SP #45, Westminster, CO 80031-3084.

What is the taxonomy code for Dr. Johnson?

The primary taxonomy code is 152W00000X – Optometrist.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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