Gregory Charles Johnson, O.D.

NPI #1447396460 in Puyallup, Washington

Provider Information

NPI Number: 1447396460
Entity Type: Individual
Name: Gregory Charles Johnson, O.D.
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Optometrist
Credential: O.D.
Enumeration Date: Jan 29, 2007
Last Updated: Jul 8, 2007

Practice Location

Address: 10202 149TH ST E # 101
City: Puyallup
State: Washington
ZIP Code: 98374-3746
Phone: (253) 841-2020

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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