IndividualActive
Amanda Johnson, OD
NPI 1831182294 · Optometrist · Wake Forest, NC
Provider details
- NPI number
- 1831182294
- Entity type
- Individual
- Primary specialty
- OptometristEye and Vision Services Providers
- Credential
- OD
- Sex
- Female
- Sole proprietor
- No
- License
- 1822 (NC)
Specialties & taxonomies
Eye and Vision Services Providers
Practice location
110 Capcom Ave
Wake Forest, NC 27587-6531
Phone: (919) 391-7224
Approximate (ZIP-level) locationGet directions
Mailing address
8614 Westwood Center Dr Fl 9
Vienna, VA 22182-2442
Additional practice locations (1)
- 2075 Renaissance Park PlCary, NC 27513-2263Phone: (919) 391-7224
Registry dates
- Enumerated
- 2005-08-31
- Last updated
- 2024-08-16
- Certified
- 2024-08-16
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.