Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Gary E. Johnson, OD, PC

Organization Exclusive Provider Organization · NPI 1235430216

Gary E. Johnson, OD, PC is an Exclusive Provider Organization in Fargo, North Dakota. Licensed in North Dakota. Registered with an NPI since 2010.

Licensed in
ND
In the registry since
2010
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

3757 55th Ave S
Fargo, ND 58104-6365
Phone: (701) 356-1717
Fax: (701) 356-1718
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Exclusive Provider Organization (primary) Taxonomy 302F00000X · Licence 607 (ND)

Record details

NPI number1235430216
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Gary Johnson — President · (701) 640-8773
NPI enumeratedNovember 8, 2010
Last updated in NPPESJanuary 11, 2011
Mailing address3757 55th Ave S, Fargo, ND 58104-6365

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