| NPI | 1376626275 |
|---|---|
| Professional Name | WAYNE E. JOHNSON |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: CA 5408T) |
| Additional Taxonomies | 152WC0802X Optometrist, Corneal and Contact Management (Licence: CA 5408T) |
| Enumeration Date | 2006-10-23 |
| Last Update Date | 2007-07-09 |