Individual
ADAM LOUIS JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OPTICIAN
Contact information
Practice address
399 N MAIN ST STE C, MANAHAWKIN, NJ 08050-3069
(732) 674-1899
Mailing address
10 INMAN CT, WEST CREEK, NJ 08092-2845
(732) 674-1899
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
—
—
Other
Enumeration date
10/17/2018
Last updated
10/17/2018
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