Organization
JOHNSON FAMILY VISION INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL THOMAS JOHNSON O.D. (PRESIDENT)
(812) 345-4912
Entity
Organization
Contact information
Practice address
3100 MERIDIAN PARKET DR, SUITE J, GREENWOOD, IN 46142-9424
(317) 888-9755
(317) 888-9768
Mailing address
3100 MERIDIAN PARKET DR, SUITE J, GREENWOOD, IN 46142-9424
(317) 888-9755
(317) 888-9768
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
—
156F00000X
Technician/Technologist
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
P01267559
RAIL ROAD RETIREES
IN
Enumeration date
10/07/2024
Last updated
10/07/2024
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