Individual
BRIAN JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
3509 SILVERSIDE RD, WILMINGTON, DE 19810-4903
(302) 477-2608
(302) 477-2650
Mailing address
3509 SILVERSIDE RD, WILMINGTON, DE 19810-4903
(302) 477-2621
(571) 223-6780
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
I3-0011449
DE
152W00000X
Optometrist
OEG003474
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
OEG003474
LICENSE
PA
Enumeration date
08/20/2018
Last updated
07/14/2025
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