| NPI | 1376247486 |
|---|---|
| Doing Business As | SHANE JOHNSTON, OD & ASSOCIATES |
| Entity Type | Organization |
| Authorized Contact | SHANE JOHNSTON Owner/Optometrist 623-688-7310 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist |
| Enumeration Date | 2023-03-30 |
| Last Update Date | 2023-03-30 |