Individual
ROBERT JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
172 CAMBRIDGE STREET, BURLINGTON, MA 01803
(781) 272-4944
(781) 272-8756
Mailing address
172 CAMBRIDGE STREET, BURLINGTON, MA 01803
(781) 272-4944
(781) 272-8756
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
3855
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0026613
NEIGHBORHOOD HEALTH
—
01
—
009318
NEIGHBORHOOD HEALTH
—
05
—
0337901
—
MA
01
—
150576
HARVARD COMM HEALTH
—
01
—
160676
HARVARD PILGRIM HMO
—
01
—
497918
AETNA HMO
—
01
—
763552
SECURE HORIZONS /ECE
—
01
—
763662
SECURE HORIZONS/NEEC
—
01
—
B20953401
CIGNA
—
01
—
CE5062
RAILROAD MEDICARE
—
01
—
JOW16020
BCBS PPD
—
01
—
JOW16028
BLUE SHIELD
—
01
—
JOW1602B
BLUE SHIELD
RI
Enumeration date
06/22/2005
Last updated
10/05/2011
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