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

Dr. Mallory Jayne Johnson, OD

Individual provider Optometrist · NPI 1306677059

Dr. Mallory Jayne Johnson, OD is an Optometrist in Fort Cavazos, Texas. Licensed in Florida. Registered with an NPI since 2024.

Licensed in
FL
In the registry since
2024
What do these letters mean?
OD — Doctor of Optometry
An optometrist: examines eyes, prescribes glasses and contacts, and treats many eye conditions.

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Practice location Address checks out

590 Medical Center Rd Bldg 36065
Fort Cavazos, TX 76544
Phone: (254) 288-8000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Optometrist (primary) Taxonomy 152W00000X · Licence 6490 (FL)

Record details

NPI number1306677059
Entity typeIndividual (Type 1)
GenderFemale
Credentials OD
Sole proprietorNo
NPI enumeratedAugust 13, 2024
Last updated in NPPESAugust 13, 2024
Certification dateJuly 29, 2024
Mailing address2308 Los Arboles Ln, Waco, TX 76711-1188

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