Individual
MR. MICHAEL T JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
3100 MERIDIAN PARKE DR STE J, GREENWOOD, IN 46142-9424
(317) 888-9755
(317) 888-9768
Mailing address
3100 MERIDIAN PARKE DR STE J, GREENWOOD, IN 46142-9424
(317) 888-9755
(317) 888-9768
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
046.010372
IL
152W00000X
Optometrist
Primary
18003700A
IN
152W00000X
Optometrist
18003700B
IN
152W00000X
Optometrist
OPT13946TLG
CA
Other
Enumeration date
07/27/2010
Last updated
12/04/2024
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