Organization
JOHNSTON OCULAR PROSTHETICS,INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LISA JOHNSTON BADO, BCO (PRESIDENT)
(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
335E00000X
Prosthetic/Orthotic Supplier
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7795130
—
NC
Enumeration date
12/28/2006
Last updated
08/22/2020
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