Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. GABRIEL JAY JOHNSON, O.D.
Active Sole ProprietorDR. GABRIEL JAY JOHNSON, O.D. is a Optometrist healthcare provider located in PENNSDALE, Pennsylvania. NPI 1972631752 is currently active in the NPPES registry. Verify at CMS.
Optometrist · PENNSDALE, PA
Registration Details
- NPI Number
- 1972631752
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Mar 1, 2007 (19.27056913949 yrs)
- Last Updated
- Jul 8, 2007
- License
-
OEG001770 (PA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
300 LYCOMING MALL CIRSUITE 264PENNSDALE, PA, 177568072Browse PA providers · Browse ZIP 17756
- Phone
- 5705468315
- Fax
- 5705460312
- Primary Specialty
-
Optometrist
152W00000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.