Individual
DR. ROBERT JAMES JOHNSON JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
600 LIGONIER ST, LATROBE, PA 15650-1426
(724) 537-5358
Mailing address
600 LIGONIER ST, LATROBE, PA 15650-1426
(724) 537-5358
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OEG 1079
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
007052715
—
PA
Enumeration date
01/04/2006
Last updated
09/13/2016
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