Individual
DR. TIMOTHY MICAH JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
3290 SHERIDAN DR, AMHERST, NY 14226-1422
(716) 691-1192
(716) 393-3839
Mailing address
1 FOX TRCE, LANCASTER, NY 14086-3072
(716) 598-6760
(716) 393-3839
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
TUV007656
NY
Other
Enumeration date
09/21/2009
Last updated
12/14/2018
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