Individual
MICHAEL EDWARD JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
421 N MAIN ST, LEEDS, MA 01053-9764
(413) 345-1096
Mailing address
605 LAFAYETTE RD, PORTSMOUTH, NH 03801-5406
(603) 629-0090
(603) 629-0092
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
0762
NH
Other
Enumeration date
09/27/2005
Last updated
05/16/2023
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