Johnson, Gregory Luke

Johnson, Gregory Luke is an individual health care provider with primary practice located at 5503 Leesburg Pike , Baileys Crossroads VA 22041-3109. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Johnson, Gregory Luke can be contacted via phone (571) 483-4030.

Contact Information

Primary practice address
5503 Leesburg Pike Baileys Crossroads VA 22041-3109
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 937 Mississippi
Eye and Vision Services Providers / Optometrist 152W00000X 0618002542 Virginia

Profile Details

NPI number 1295188290
LBN Legal business name Johnson, Gregory Luke
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 14th, 2016
Last updated Jul 21st, 2022 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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