Organization
JOHNSON OPTOMETRIC ASSOCIATES PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROBERT L JOHNSON OD (PRESIDENT)
(919) 552-3181
Entity
Organization
Contact information
Practice address
1340 N MAIN ST, FUQUAY VARINA, NC 27526-2617
(919) 552-3181
(919) 552-0197
Mailing address
1340 N MAIN ST, FUQUAY VARINA, NC 27526-2617
(919) 552-3181
(919) 552-0197
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
09459
BCBS
NC
01
—
2701064
AETNA
NC
05
—
8909459
—
NC
01
—
C 10278
RR MEDICARE
NC
Enumeration date
10/10/2006
Last updated
09/08/2023
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