NPI 1104822428

Robert Johnson, OD

Practitioner Optometrist Burlington, MA

Practice location

Address: 172 Cambridge Street, Burlington, MA 01803
Phone: (781) 272-4944
Fax: (781) 272-8756

Registered specialties

Optometrist Primary

Eye and Vision Services Providers Taxonomy 152W00000X Licence 3855 (MA)

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Registry record

NPI: 1104822428
Entity type: Individual
Sex (as registered): Male
NPI issued: 22 Jun 2005
Record last updated: 5 Oct 2011

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.