Individual
TONICA VINETTA JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1821 HILLANDALE RD 1B #300, DURHAM, NC 27706
(216) 509-1814
Mailing address
1821 HILLANDALE RD 1B #300, DURHAM, NC 27706
(216) 509-1814
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
200600411
NC
207W00000X
Ophthalmology Physician
A87493
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0800905
UHC
NC
01
—
1326265
AETNA
NC
01
—
142VK
BCBS NC
NC
01
—
188041
MEDCOST
NC
01
—
33400
OPTICARE
NC
05
—
5904044
—
NC
01
—
808293
PARTNERS
NC
01
—
OPH182
PRIMAHEALTH
NC
01
—
P00340942
MEDICARE RAILROAD
—
Enumeration date
06/03/2006
Last updated
07/21/2022
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