Individual
WILLIAM R JOHNSTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OPTICIAN
Contact information
Practice address
7324 CALUMET AVE, HAMMOND, IN 46324-2620
(219) 931-3314
Mailing address
7324 CALUMET AVE, HAMMOND, IN 46324-2620
(219) 931-3314
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
N/A
—
Other
Enumeration date
08/23/2005
Last updated
02/29/2008
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