Organization
JAMES C JOHNSON, OD, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JAMES C JOHNSON OD (PRESIDENT)
(610) 705-3937
Entity
Organization
Contact information
Practice address
1800 E HIGH ST, SUITE 300, POTTSTOWN, PA 19464-3239
(610) 705-3937
(610) 705-3903
Mailing address
1800 E HIGH ST, SUITE 300, POTTSTOWN, PA 19464-3239
(610) 705-3937
(610) 705-3903
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OEG-1758
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2229590000
IBC/KEYSTONE
PA
01
—
OEG-1758
STATE LICENSE
PA
Enumeration date
06/02/2011
Last updated
01/08/2013
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