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

Jerel Dean Johnson, ABOCOPTICIAN

Individual provider Optician · NPI 1750421160

Jerel Dean Johnson, ABOCOPTICIAN is an Optician in Cook, Minnesota. Licensed in Minnesota. Registered with an NPI since 2007.

Licensed in
MN
In the registry since
2007
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Practice location Address checks out

23 E Vermilion Ave
Cook, MN 55723-0127
Phone: (218) 666-2879
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Optician (primary) Taxonomy 156FX1800X · Licence 19618 (MN)

Record details

NPI number1750421160
Entity typeIndividual (Type 1)
GenderMale
Credentials ABOCOPTICIAN
Sole proprietorNo
NPI enumeratedFebruary 7, 2007
Last updated in NPPESJuly 8, 2007