Individual
ERIC WILLIAM JOHNSTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
477 N EL CAMINO REAL STE C202, ENCINITAS, CA 92024-1332
(760) 631-3500
Mailing address
1551 UNION ST UNIT 1103, SAN DIEGO, CA 92101-3445
(312) 498-4301
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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