Individual
ROBERT I JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
375 E HORSETOOTH RD BLDG 4, FORT COLLINS, CO 80525-3155
(970) 377-3111
Mailing address
373 W DRAKE RD, SUITE 3, FORT COLLINS, CO 80526-2881
(970) 223-7150
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OPT2383
CO
152WP0200X
Pediatric Optometrist
OPT2383
CO
152WS0006X
Sports Vision Optometrist
OPT2383
CO
152WV0400X
Vision Therapy Optometrist
OPT2383
CO
Other
Enumeration date
03/13/2007
Last updated
06/27/2019
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