NPI 1477579100 · live from the CMS NPI Registry
Jo Bernice Johnson, M.D.
Ophthalmology in Saco, ME. National Provider Identifier 1477579100, active.
NPI record
| NPI | 1477579100 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Ophthalmology 207W00000X |
| Practice location | 333 Lincoln St Ste 200, Saco, ME 04072 |
| Practice phone | 207-283-3676 |
| Enumerated | July 14, 2006 |
| Last updated | August 9, 2024 |
| Sole proprietor | Yes |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Ophthalmology primary | 207W00000X | 009193 (ME) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.