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Organization

JOHNSON OPTOMETRIC ASSOCIATES PA

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. ROBERT L JOHNSON OD (PRES OWNER)
(919) 779-3560
Entity
Organization

Contact information

Practice address
918 7TH AVE, GARNER, NC 27529-3677
(919) 779-3560
(919) 779-5773
Mailing address
918 7TH AVE, GARNER, NC 27529-3677
(919) 779-3560
(919) 779-5773

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
09461
BCBS
NC
01
4493993
AETNA
NC
05
8909461
NC
Enumeration date
05/16/2006
Last updated
09/08/2023
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