MARK JOHNSON, O.D., PLLC
Optometry in Beaumont, TX

License number
Texas TX4495
Category
Optometry
Type
Optometrist
License number
Texas TX4495T
Category
Optometry
Type
Corneal and Contact Management
License number
Texas TX4495T
Category
Optometry
Type
Technician/Technologist
License number
Texas TX4495T
Category
Optometry
Type
Contact Lens
License number
Texas TX4495T
Category
Optometry
Type
Contact Lens Fitter
Owner
Name: DR. MARK ALAN JOHNSON O.D.
Title: OPTOMETRIST
Phone: (409) 892-4790
Address
Address
6155 Eastex Fwy Suite #699, Beaumont, TX 77706
National Provider ID: 1952656589
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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MARK JOHNSON, O.D., PLLC

Beaumont, TX

Doing business as:
Mark Johnson, O.D., Pllc
Registration:
Mar 15, 2011
Addresses:
3 Oakleigh Blvd, Beaumont, TX 77706 (Mailing)
#3 Oakleigh, Beaumont, TX 77706
State ID:
0801397581
Business type:
Domestic Limited Liability Company (LLC)
PRESIDENT, President:
Mark A Johnson (PRESIDENT, President), 3 Oakleigh Blvd, Beaumont, TX 77706
TIN:
30118321451

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