Johnston, David R
Johnston, David R is an sole proprietor health care provider with primary practice located at 3900 Monument Ave , Richmond VA 23230-3902. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Johnston, David R can be contacted via phone (804) 358-2191.Contact Information
Primary practice address
3900 Monument Ave
Richmond VA 23230-3902
Phone: (804) 358-2191
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | 0618000069 | Virginia |
Profile Details
| NPI number | 1477546091 |
|---|---|
| LBN Legal business name | Johnston, David R |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 30th, 2005 |
| Last updated | Sep 11th, 2008 - about 17 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1477546091 | NPPES |
| Virginia | MEDICAID | 9201581 |
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