Richard Gene Johnson OD

NPI 1083699458 - Optometrist - 152W00000X

NPI Details
NPI 1083699458
Gender Male
Enumeration Date 12/08/2005
Last Updated 08/29/2014
Entity Type Individual
Active Over 11 years ago
Practice Location
2800 N ELM ST
BIGGS PARK NC, 28358-3000, US
Phone (910) 738-6464
Fax (910) 738-4944
Business Location
2800 N ELM ST
BIGGS PARK NC, 28358-3000, US
Phone (910) 738-6464
Fax (910) 738-4944
Toxanomy
Taxonomy Code 152W00000X
License State North Carolina
License Number NC1368
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According to our database, Dr. Richard Gene Johnson OD NPI is 1083699458, taxonomy code is 152W00000X and license number is NC1368, license state is located at North Carolina. Richard Gene Johnson OD physically located at 2800 N Elm St, Biggs Park NC, 28358-3000. NPI Number Richard Gene Johnson OD has the Individual type.

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1083699458 NPI number is provided on an as is basis without warranty of any kind. 1083699458 is maintained by the National Plan & Provider Enumeration System. The contents of Richard Gene Johnson OD are for informational purposes only.