IndividualActive
Jennifer Johnson, LO
NPI 1538831953 · Optician · Groton, CT
Jennifer Johnson, LO is a Optician provider in Groton, CT (NPI 1538831953).
Provider details
- NPI number
- 1538831953
- Entity type
- Individual
- Primary specialty
- OpticianEye and Vision Services Providers
- Credential
- LO
- Sex
- Female
- Sole proprietor
- No
- License
- 001354 (CT)
Practice location
489 Gold Star Hwy Ste 100
Groton, CT 06340-6227
Phone: (860) 445-2461
Fax: (860) 445-8512
Street-level locationGet directions
Mailing address
489 Gold Star Hwy Ste 100
Groton, CT 06340-6227
Registry dates
- Enumerated
- 2021-10-04
- Last updated
- 2021-10-04
- Certified
- 2021-10-04
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.