Organization
DONALD S. JOHNSTON, OD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DONALD SENIOR JOHNSTON OD (OWNER)
(732) 741-0170
Entity
Organization
Contact information
Practice address
41 E FRONT ST, RED BANK, NJ 07701-1822
(732) 741-0170
(732) 741-2808
Mailing address
41 E FRONT ST, RED BANK, NJ 07701-1822
(732) 741-0170
(732) 741-2808
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
27OA00343400
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0353670001
DME
NJ
Enumeration date
04/17/2008
Last updated
04/17/2008
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