Individual
GREGORY CHARLES JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
10202 149TH ST E # 101, PUYALLUP, WA 98374-3746
(253) 841-2020
(253) 770-7378
Mailing address
10202 149TH ST E # 101, PUYALLUP, WA 98374-3746
(253) 841-2020
(253) 770-7378
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
3116TX
WA
Other
Enumeration date
01/29/2007
Last updated
07/08/2007
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