Individual provider · Type 1 NPI
Tammra Roesener Johnson, OD
Pediatric Optometrist · Fort Collins, CO
NPI number
1144439712
Active
Practice location
412 Remington St
Fort Collins, CO 80524-2911
Fax (970) 482-0966
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Optometrist | 152W00000X | 1292 (CO) |
| Corneal and Contact Management Optometrist | 152WC0802X | 1292 (CO) |
| Pediatric Optometrist Primary | 152WP0200X | 1292 (CO) |
| Vision Therapy Optometrist | 152WV0400X | 1292 (CO) |
Pediatric Optometrist: Optometrists who work in Pediatrics are concerned with the prevention, development, diagnosis, and treatment of visual problems in children.
About NPI 1144439712
Tammra Roesener Johnson, OD's National Provider Identifier is 1144439712, issued on May 21, 2007. The primary taxonomy on file is Pediatric Optometrist (152WP0200X), and the practice location is in Fort Collins, CO. The record was last updated on Sep 11, 2025.