Individual
MICHAEL JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
275 THOMAS INDIAN SCHOOL DR, IRVING, NY 14081-9341
(716) 532-5582
(716) 242-6344
Mailing address
987 R C HOAG DR, SALAMANCA, NY 14779-1365
(716) 945-5894
(716) 242-6345
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
192833-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00020009104
UNIVERA HEALTH CARE
NY
01
—
005244893
BLUE CROSS/ SHIELD
NY
01
—
0807662
INDEPENDENT HEALTH ASS.
NY
01
—
192833-2
WORKERS COMPENSATION
NY
01
—
NY 2833
EYE MED VISION CARE
NY
Enumeration date
03/20/2006
Last updated
07/28/2026
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