Individual
DR. ROBERT JOHN JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
1801 N 3RD ST, COEUR D ALENE, ID 83814-3400
(208) 667-1591
(208) 676-8574
Mailing address
1801 N 3RD ST, COEUR D ALENE, ID 83814-3400
(208) 667-1591
(208) 676-8574
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1000020
ID
152W00000X
Optometrist
OD00003408
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2021715
—
WA
Enumeration date
05/16/2006
Last updated
10/21/2010
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