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

Dr. Justin Rodney Johnsen, MD

Individual provider Ophthalmic Plastic and Reconstructive Surgery Physician · NPI 1679582282

Dr. Justin Rodney Johnsen, MD is an Ophthalmic Plastic and Reconstructive Surgery Physician in Salt Lake City, Utah. Practices as a sole proprietor. Licensed in Utah.

Licensed in
UT
In the registry since
2006
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

2505 E 3300 S Ste 202
Salt Lake City, UT 84109-2737
Phone: (801) 807-8811
Fax: (801) 769-0904
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Ophthalmic Plastic and Reconstructive Surgery Physician (primary) Taxonomy 207WX0200X · Licence 6139294-1205 (UT)

Record details

NPI number1679582282
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedAugust 5, 2006
Last updated in NPPESMarch 20, 2025
Certification dateMarch 20, 2025

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