DR. BRENT WARREN JOHNSON O.D.
NPI 1710031463
Optometrist in Vancouver, WA

Active since January 22, 2007
700 SE CHKALOV DR, SUITE 5, VANCOUVER, WA 98683(360) 256-0612(360) 896-5503 Get Directions Write a Review

NPPES record last updated: March 15, 2008. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Dr. Brent Warren Johnson O.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. BRENT WARREN JOHNSON O.D. (NPI 1710031463) is an individual optometrist in Vancouver, Washington, licensed in Washington (1650TX) and active in the NPI registry since January 2007.

NPPES Registry Identity

NPI1710031463
Entity TypeIndividualMale
Primary Taxonomy152W00000X
Provider Legal NameDR. BRENT WARREN JOHNSONCredential: O.D.
Location Address700 SE CHKALOV DR, SUITE 5Vancouver, WA 98683-5202
Mailing Address700 Se Chkalov Dr, Suite 5Vancouver, WA 98683-5202 · (360) 256-0612 · Fax (360) 896-5503
Fax(360) 896-5503
Sole ProprietorYes
Enumeration DateJanuary 22, 2007
Last NPPES UpdateMarch 15, 2008
NPI 1710031463 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyOptometristEye and Vision Services Providers
Taxonomy Code152W00000X
License Licensed in WA · 1650TX
Definition

Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system.

700 SE CHKALOV DR, Vancouver, WA 98683

Other Identifiers 3

Medicare NSC0573030001WA
Medicaid2003523WA
Medicare UPINTO1948WA

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1710031463, enumerated as an "individual" on January 22, 2007.

The provider is located at 700 SE CHKALOV DR SUITE 5 VANCOUVER, WA 98683 and the phone number is (360) 256-0612.

Optometrist with taxonomy code 152W00000X.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.