Individual
DR. ROBERT L JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OD
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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