NPI 1255423307 · live from the CMS NPI Registry
Cynthia Ruth Johnson, OD
Optometrist in Bozeman, MT. National Provider Identifier 1255423307, active.
NPI record
| NPI | 1255423307 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Optometrist 152W00000X |
| Practice location | 4265 Fallon St,, Suite 1, Bozeman, MT 59718 |
| Practice phone | 406-587-0668 |
| Mailing address | 4265 Fallon St, Suite 1, Bozeman, MT 59718 |
| Enumerated | September 28, 2006 |
| Last updated | October 28, 2008 |
| Sole proprietor | No |
| Other names | Cynthia Kinna |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Optometrist primary | 152W00000X | 530 (MT) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.