Individual
MR. RICHARD A JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OPTICIAN
Contact information
Practice address
6081 ROUTE 96 STE 8, FARMINGTON, NY 14425-1062
(585) 924-2550
(585) 924-4399
Mailing address
3978 MIDDLE RD, CANANDAIGUA, NY 14424-8363
(585) 394-1128
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
4221
NY
Other
Enumeration date
04/04/2018
Last updated
04/04/2018
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