JEREL DEAN JOHNSON ABOC OPTICIAN
NPI 1750421160
Technician/Technologist - Optician in Cook, MN

Active since February 07, 2007
23 EAST VERMILION AVE, COOK, MN 55723(218) 666-2879 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Jerel Dean Johnson Aboc Optician NPPES

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

JEREL DEAN JOHNSON ABOC OPTICIAN (NPI 1750421160) is an individual optician in Cook, Minnesota, licensed in Minnesota (19618) and active in the NPI registry since February 2007.

NPPES Registry Identity

NPI1750421160
Entity TypeIndividualMale
Primary Taxonomy156FX1800X
Provider Legal NameJEREL DEAN JOHNSONCredential: ABOC OPTICIAN
Location Address23 EAST VERMILION AVECook, MN 55723-0127
Mailing AddressPo Box 127, 23 East Vermilion AveCook, MN 55723-0127 · (218) 666-2879
Sole ProprietorNo
Enumeration DateFebruary 7, 2007
Last NPPES UpdateJuly 8, 2007
NPI 1750421160 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyTechnician/Technologist · OpticianEye and Vision Services Providers
Taxonomy Code156FX1800X
License Licensed in MN · 19618
Definition
Opticians help fit eyeglasses and contact lenses, following prescriptions from Ophthalmologists and Optometrists. They also help customers decide which eyeglass frame or contact lenses to buy.
23 EAST VERMILION AVE, Cook, MN 55723

Other Identifiers 5

Other66791COMN · 1st Plan Blue
Other2100594MN · Medica
Other66791COMN · Bcbs
Medicare ID-Type Unspecified0591300001MN
Other110191MN · Ucare

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jerel Johnson's NPI number?

The NPI number for Jerel Johnson is 1750421160. It was assigned to this individual provider in the NPPES registry on February 7, 2007.

Where is Jerel Johnson located?

Jerel Johnson practices at 23 East Vermilion Ave, Cook, MN 55723. The listed phone number is (218) 666-2879.

What is Jerel Johnson's specialty?

The primary specialty registered for this NPI is Technician/Technologist, specializing in Optician, with taxonomy code 156FX1800X.

When was this NPI record last updated?

The NPPES record for Jerel Johnson was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.