DR. DALE S. JOHNSON (NPI# 1235189143) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1235189143 |
| Entity Type | Individual |
| Full Name | DR. DALE S. JOHNSON |
| Credential | M.D. |
| Practice Address |
1319 Vivian St Longmont CO 80501-3216 |
| Practice Telephone | 3037723611 |
| Practice Fax Number | 3037723609 |
| Mailing Telephone | 3037723611 |
| Mailing Fax Number | 3037723609 |
| Enumeration Date | 2006-05-11 |
| Last Update Date | 2010-06-24 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207W00000X | Ophthalmology | 18358 | CO | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CO | 01183581 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881171254 | Dale Johnson | Technician | 3900 Wheeler Rd Se Unit F, Washington, DC 20032-4376 | 2018-07-27 |
| 1427260595 | Dale Gilman Johnson | Surgery | 828 S California St, Helena, MT 59601-5669 | 2007-05-03 |
| 1669510525 | Dale J Johnson | Nurse Practitioner | 7 Wharf Road, Bolinas Family Practice, Bolinas, CA 94924 | 2007-02-02 |
| 1750474706 | Dale Alan Johnson | Dentist | 1717 W Church St, Freeport, IL 61032-4695 | 2006-10-02 |
| 1629029095 | Dale Johnson | Optometrist | 724 Cedar St, Sault Sainte Marie, MI 49783-2410 | 2006-05-12 |
| 1447211404 | Dale Alan Johnson | Family Medicine | 820 Summit Ave, Prohealth Care Medical Associates Fp, Oconomowoc, WI 53066-3973 | 2006-03-30 |
| 1932647070 | Dale Johnson | Specialist/Technologist, Other | 7324 Southwest Fwy, Suite 1550, Houston, TX 77074-2012 | 2017-02-09 |
| 1508236928 | Dale Johnson | Registered Nurse | 101 S Moore Ave, Claremore, OK 74017-5047 | 2015-09-28 |
| 1366677890 | Dale D Johnson | Occupational Therapist | 915 Horton St, Fort Scott, KS 66701-2437 | 2009-05-28 |
| 1730344433 | Dale S Johnson | Optometrist | 983 W State Road 434, Longwood, FL 32750-5103 | 2008-07-22 |
| Street Address |
1319 VIVIAN ST |
| City | LONGMONT |
| State | CO |
| Zip Code | 80501-3216 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154487320 | Front Range Optical | Eyewear Supplier (Equipment, not the service) | 1319 Vivian St, Longmont, CO 80501 | 2006-12-29 |
| 1083639413 | Sara S Heffler | Optometrist | 1319 Vivian St, Longmont, CO 80501-3216 | 2006-07-13 |
| 1174555718 | Dale S Johnson M D PC | Ophthalmology | 1319 Vivian St, Longmont, CO 80501-3216 | 2006-07-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598376774 | Boulder County Public Health | Public Health or Welfare | 515 Coffman Street, Suite 200, Longmont, CO 80501 | 2020-08-12 |
| 1164032827 | Kidstuff Child and Family Counseling, P.C. | Marriage & Family Therapist | 360 15th Ave, Ste. 104, Longmont, CO 80501 | 2020-08-06 |
| 1861036501 | Stateserv Medical of Colorado | Durable Medical Equipment & Medical Supplies | 63 South Pratt Pkwy, Landmont, CO 80501 | 2019-11-06 |
| 1558915090 | Array Clinical and Therapeutic Services | Assistant Behavior Analyst | 451 21st Ave. Suite B, Longmont, CO 80501 | 2019-08-01 |
| 1275195042 | Alisa Marie Schwegerl | Speech-Language Pathologist | 1800 Stroh Place, Longmont, CO 80501 | 2019-07-02 |
| 1295298545 | Jovahna Pena | Counselor | Behavioral Health Group, 850 23rd Ave Unit A, Longmont, CO 80501 | 2019-04-12 |
| 1659845568 | University Physicians Incorporated | Advanced Practice Midwife | 2030 Mountain View Ave Ste 400, Longmont, CO 80501 | 2019-01-14 |
| 1013404714 | Crafted Physical Therapy Pllc | Physical Therapist | 701 Delaware Ave Unit E, Longmont, CO 80501 | 2018-04-18 |
| 1588110860 | Randall Bonnom | Counselor | 420 21st Ave #113, Longmont, CO 80501 | 2016-08-28 |
| 1225401771 | Sowash Optometry Group, PC | Eyewear Supplier (Equipment, not the service) | 1242 S. Hover Street, Suite C200, Longmont, CO 80501 | 2015-11-05 |
| Find all providers in zip 80501 | ||||
| Taxonomy Code | 207W00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Ophthalmology |
| An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Ophthalmology, 2007. http://www.abop.org/. American Osteopathic Board of Ophthalmology and Otolaryngology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Ophthalmology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Ophthalmology and Otolaryngology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780077685 | Roger Leon Jorgensen | Ophthalmology | 14222 N 95 Si, Longmont, CO 80504 | 2015-03-17 |
| 1881759298 | Morris Edward Tilden | Ophthalmology | 2155 Westlake Dr, Longmont, CO 80503-8126 | 2006-12-26 |
| 1467534743 | Matthew I Ehrlich Md PC | Ophthalmology | 4236 Portofino Dr, Longmont, CO 80503-4154 | 2006-10-19 |
| 1932113578 | Richard Stewart | Ophthalmology | 1332 Vivian St, Longmont, CO 80501-3217 | 2006-07-28 |
| 1528417326 | Sarah L Dech | Ophthalmology | 205 S Main St Ste D, Longmont, CO 80501-1714 | 2016-06-13 |
| 1396182127 | Rocky Mountain Retina Associates, Inc. | Ophthalmology | 1330 Vivian St, Longmont, CO 80501-3217 | 2013-06-03 |
| 1881961316 | Front Range Eye Physicians PC | Ophthalmology | 205 S Main St, Suite D, Longmont, CO 80501-1716 | 2011-11-29 |
| 1780908608 | Anjali Bipin Sheth | Ophthalmology | 1400 Dry Creek Dr, Longmont, CO 80503-6499 | 2010-03-22 |
| 1326205048 | Justin Michael Kanoff | Ophthalmology | 1400 Dry Creek Dr, Longmont, CO 80503-6499 | 2008-05-20 |
| 1134318421 | Eye Care Center of Northern Colorado | Ophthalmology | 1400 Dry Creek Dr, Longmont, CO 80503-6499 | 2007-10-23 |
| Find all providers in LONGMONT | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.