Individual
ERIC WILLIAM JOHNSTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
C169344
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036102349
—
IL
01
—
180042222
RAILROAD MEDICARE
IL
01
—
K197778/203979
RAILROAD MEDICARE
IL
01
—
K19781/203980
RAILROAD MEDICARE
IL
01
—
P00260020/CK6882
DMERC
IL
Enumeration date
10/13/2005
Last updated
11/15/2024
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