Michael Edward Johnson, OD | |
421 N Main St, Leeds, MA 01053-9764 | |
(413) 345-1096 | |
Not Available |
Full Name | Michael Edward Johnson |
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Gender | Male |
Speciality | Optometrist |
Location | 421 N Main St, Leeds, Massachusetts |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1245226976 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
152W00000X | Optometrist | 0762 (New Hampshire) | Primary |
Provider Name | Ferris State University |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1871510859 PECOS PAC ID: 3971572124 Enrollment ID: O20040925000091 |
Mailing Address | Practice Location Address |
---|---|
Michael Edward Johnson, OD 605 Lafayette Rd, Portsmouth, NH 03801-5406 Ph: (603) 629-0090 | Michael Edward Johnson, OD 421 N Main St, Leeds, MA 01053-9764 Ph: (413) 345-1096 |
Dr. Terrence Patrick Donnelly, O.D. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 421 N Main St, Leeds, MA 01053 Phone: 413-584-4040 Fax: 413-582-3185 | |
Dr. Michele R. Miranda, O.D. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 421 N Main St, Leeds, MA 01053 Phone: 413-584-4040 | |
Dr. Lacey Jordan Marks, O.D. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 421 N Main St, Leeds, MA 01053 Phone: 413-584-4040 |