Organization
JOHNSTON OCULAR PROSTHETICS, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. LISA C JOHNSTON BCO, BADO (PRESIDENT / OWNER)
(919) 207-2515
Entity
Organization
Contact information
Practice address
7476 OLD FAIRGROUND RD, BENSON, NC 27504-6105
(919) 207-2515
(919) 894-1335
Mailing address
7476 OLD FAIRGROUND RD, BENSON, NC 27504-6105
(919) 207-2515
(919) 894-1335
Taxonomy
Speciality
Code
Description
License number
State
332BC3200X
Customized Equipment (DME)
Primary
NONE
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
332BC3200X
—
NC
Enumeration date
05/08/2015
Last updated
05/08/2015
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