Individual
DR. ROBERT L JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OD
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
0925
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
09458
BCBS FUQUAY OFFICE
NC
01
—
09466
BCBS GARNER OFFICE
NC
01
—
28979
PARTNERS
NC
01
—
410024383
RAIL ROAD MEDICARE
NC
01
—
410032461
RAIL RAOD MEIDCARE
NC
01
—
5956719
AETNA
NC
05
—
8909458
—
NC
05
—
8909466
—
NC
Enumeration date
05/15/2006
Last updated
09/07/2023
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