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

Amy Lyn Johnson, ABO

Individual provider Optician · NPI 1629848791

Amy Lyn Johnson, ABO is an Optician in Blaine, Minnesota. Practices as a sole proprietor. Licensed in Minnesota.

Licensed in
MN
In the registry since
2024

Practice location Address checks out

11505 Ulysses St NE
Blaine, MN 55434-4239
Phone: (763) 354-5399
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Optician (primary) Taxonomy 156FX1800X · Licence 202432 (MN)

Record details

NPI number1629848791
Entity typeIndividual (Type 1)
GenderFemale
Credentials ABO
Sole proprietorYes
NPI enumeratedJanuary 8, 2024
Last updated in NPPESJanuary 8, 2024
Certification dateJanuary 8, 2024
Mailing address11505 Ulysses St Ne, Blaine, MN 55434-4239

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