IndividualActive
Judy Johnson, OPTICAN
NPI 1275767378 · Optician · Fridley, MN
Provider details
- NPI number
- 1275767378
- Entity type
- Individual
- Primary specialty
- OpticianEye and Vision Services Providers
- Credential
- OPTICAN
- Sex
- Female
- Sole proprietor
- Yes
- License
- 156FX1800X (MN)
Specialties & taxonomies
Eye and Vision Services Providers
Practice location
7362 University Ave Ne
206
Fridley, MN 55432-3142
Phone: (763) 571-5450
Fax: (763) 571-1880
Approximate (ZIP-level) locationGet directions
Mailing address
7362 University Ave Ne
Fridley, MN 55432-3142
Registry dates
- Enumerated
- 2009-05-05
- Last updated
- 2009-05-05
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.