Individual
MATTHEW ALAN JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
360 MERRIMACK ST BLDG 91, LAWRENCE, MA 01843-1740
(978) 688-6182
(978) 685-0055
Mailing address
360 MERRIMACK ST, BUILDING #9, 1ST FLOOR, LAWRENCE, MA 01843
(978) 688-6182
(978) 685-0055
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
0959
NH
152W00000X
Optometrist
Primary
5253
MA
Other
Enumeration date
10/16/2017
Last updated
07/21/2022
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