Provider Demographics
NPI:1720266679
Name:MURRAY H. JOHNSON, O.D., M.S., F.A.A.O.
Entity Type:Organization
Organization Name:MURRAY H. JOHNSON, O.D., M.S., F.A.A.O.
Other - Org Name:EYE & CONTACT LENS ASSOCIATES OF NORTH TEXAS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER/DOCTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:MURRAY
Authorized Official - Middle Name:H
Authorized Official - Last Name:JOHNSON
Authorized Official - Suffix:
Authorized Official - Credentials:OD, MS, FAAO
Authorized Official - Phone:972-248-0202
Mailing Address - Street 1:18111 PRESTON RD
Mailing Address - Street 2:SUITE 180
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75252-5470
Mailing Address - Country:US
Mailing Address - Phone:972-248-0202
Mailing Address - Fax:972-248-0202
Practice Address - Street 1:18111 PRESTON RD
Practice Address - Street 2:SUITE 180
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75252-5470
Practice Address - Country:US
Practice Address - Phone:972-248-0202
Practice Address - Fax:972-248-0202
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-02-02
Last Update Date:2008-02-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX3129TG332H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332H00000XSuppliersEyewear Supplier
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX0645550001Medicare NSC