Organization
JOHNSON VISION CARE, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PATRICK ANTHONY JOHNSON O. D. (PRESIDENT)
(609) 261-9001
Entity
Organization
Contact information
Practice address
201 CREEK CROSSING BLVD, HAINESPORT, NJ 08036-2766
(609) 261-9001
(609) 261-9005
Mailing address
201 CREEK CROSSING BLVD, HAINESPORT, NJ 08036-2766
(609) 261-9001
(609) 261-9005
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OA00547400
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
211097
USFHP
NJ
01
—
2143309
AETNA
NJ
01
—
2143321
AETNA
NJ
Enumeration date
06/18/2005
Last updated
10/14/2009
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