Individual
DR. PATRICK ANTHONY JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O. D.
Contact information
Practice address
3458 NEELY RD, JOINT BASE MDL, NJ 08641-5312
(609) 754-9685
(609) 754-9417
Mailing address
3458 NEELY RD, JOINT BASE MDL, NJ 08641-5312
(609) 754-9685
(609) 754-9417
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
01
—
223644879
WPS TRICARE FOR LIFE
NJ
01
—
2236448790
HORIZON BC/BS OF NJ
NJ
Enumeration date
06/22/2005
Last updated
02/24/2025
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