Dr. DANIELLE RAE JOHNSON OD
Individual Provider (NPI-1)
Active
Optometrist
Provider Information
- NPI Number
1023637733- Provider Type
- Individual Provider (NPI-1)
- Credentials
- OD
- Status
- Active
Contact & Location
- Address
- 8220 N CORNERSTONE DR STE A, HAYDEN, ID, 838358683
- Phone
- (208) 772-5539
Specialties & Taxonomies
Optometrist, Pediatrics
License: CA #34593
Student in an Organized Health Care Education/Training Program
Optometrist
Primary License: ID #ODP-100539