OrganizationActive
Johnson Vision Development Center, LLC
NPI 1235401514 · Pediatric Optometrist · Jackson, TN
Provider details
- NPI number
- 1235401514
- Entity type
- Organization
- Primary specialty
- Pediatric OptometristEye and Vision Services Providers
- Organization subpart
- No
- Authorized official
- Paula Johnson-Wyatt, Owner/Optometrist(731) 660-1100
Specialties & taxonomies
Eye and Vision Services Providers
- Vision Therapy Optometrist152WV0400X
Eye and Vision Services Providers
Practice location
1012 Greystone Square
Jackson, TN 38305
Phone: (731) 660-1100
Fax: (731) 660-0688
Approximate (ZIP-level) locationGet directions
Mailing address
1012 Greystone Square
Jackson, TN 38305
Registry dates
- Enumerated
- 2012-02-02
- Last updated
- 2019-09-25
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.