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
Phone: (571) 483-4030
Fax:
Website:
Health care specialties
Specialty | Code | License # | 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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