Organization
JOHNSON FAMILY EYECARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROBERT JAMES JOHNSON JR. O.D., F.A.A.O. (OWNER)
(724) 537-5358
Entity
Organization
Contact information
Practice address
600 LIGONIER ST, LATROBE, PA 15650-1426
(724) 537-5358
(724) 537-9826
Mailing address
600 LIGONIER ST, LATROBE, PA 15650-1426
(724) 537-5358
(724) 537-9826
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OEG001079
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
094799
MEDCARE GROUP
PA
Enumeration date
02/15/2007
Last updated
07/15/2008
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