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Individual

MATTHEW E JOHNSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
OD

Contact information

Practice address
8250 OLD CHENEY RD STE A, LINCOLN, NE 68516-3533
(402) 817-5626
(402) 817-5631
Mailing address
8250 OLD CHENEY RD STE A, LINCOLN, NE 68516-3533
(402) 817-5626
(402) 817-5631

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
1150
NE
152W00000X
Optometrist
Primary
1150-323
NE

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
36321
BCBS
NE
Enumeration date
01/18/2007
Last updated
05/28/2025
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