Individual
DR. MATTHEW ALLAN JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
3600 CAPITAL AVE SW STE 203, BATTLE CREEK, MI 49015-9393
(269) 979-6383
(269) 979-6381
Mailing address
2001 COOLIDGE RD, EAST LANSING, MI 48823-1378
(517) 337-0316
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
4901004428
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4901004428
STATE LICENSE
MI
Enumeration date
04/18/2007
Last updated
08/22/2023
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