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Individual

DR. GREGORY LUKE JOHNSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
O.D.

Contact information

Practice address
10687 GASKINS WAY, SUITE 201, MANASSAS, VA 20109
(703) 753-9777
(703) 753-9077
Mailing address
10687 GASKINS WAY, SUITE 201, MANASSAS, VA 20109
(703) 753-9777
(703) 753-9077

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
0618002542
VA
152W00000X
Optometrist
937
MS

Other

Enumeration date
07/14/2016
Last updated
03/04/2025
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