WALLACE SCOTT JOHNSON

WORTHINGTON, MN
NPI1346209020
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy152W00000X Optometrist
(Licence: MN  2196)
Additional Taxonomies152WC0802X Optometrist, Corneal and Contact Management
(Licence: MN  2196)
Enumeration Date2006-03-21
Last Update Date2015-03-03
Business Address
Dr. WALLACE SCOTT JOHNSON O.D.
702 10TH ST
WORTHINGTON, MN 56187-2767
Phone number: 507-376-5535
Mailing Address
Dr. WALLACE SCOTT JOHNSON O.D.
PO BOX 726
WORTHINGTON, MN 56187-0726
Phone number: 507-376-5535