Dale Johnson Od Llc

LBN: Dale Johnson Od Llc
Dale Johnson Od Llc is an health care organization with primary practice located at 724 Cedar St , Sault Sainte Marie MI 49783-2410. The organization recently has only one registered license in Eye and Vision Services Providers / Vision Therapy, which is considered as the primary health care specialty. Dale Johnson Od Llc can be contacted via phone (906) 632-2020, or through Johnson, Dale via phone (906) 632-2020.

Contact Information

Primary practice address
724 Cedar St Sault Sainte Marie MI 49783-2410
Phone: (906) 632-2020
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Johnson, Dale Doctor of Optometry (OD)
Phone: (906) 632-2020

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Vision Therapy 152WV0400X 4901002749 Michigan

Profile Details

NPI number 1609828870
LBN Legal business name Dale Johnson Od Llc
DBA Doing business as
Authorized official Johnson, Dale Doctor of Optometry (OD)
Entity Organization
Organization subpart 1 No
Enumeration date May 16th, 2006
Last updated Jul 29th, 2015 - about 9 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1609828870 NPPES
Michigan MEDICAID 4578107
Michigan Other 0P31680
Michigan Other 900A710230

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