Johnson, Heidi L

Johnson, Heidi L is an individual health care provider with primary practice located at 2822 Venture Dr , Marquette MI 49855-8631. She recently has 6 registered licenses in different health care specialties including Eye and Vision Services Providers / Optometrist, Eye and Vision Services Providers / Corneal and Contact Management, Eye and Vision Services Providers / Low Vision Rehabilitation, Eye and Vision Services Providers / Pediatrics, Eye and Vision Services Providers / Sports Vision, Eye and Vision Services Providers / Vision Therapy. Eye and Vision Services Providers / Optometrist is her primary health care specialty. Johnson, Heidi L can be contacted via phone (906) 228-4401.

Contact Information

Primary practice address
2822 Venture Dr Marquette MI 49855-8631
Fax: (906) 225-0460
Website:

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 4901003354 Michigan
Eye and Vision Services Providers / Corneal and Contact Management 152WC0802X 4901003354 Michigan
Eye and Vision Services Providers / Low Vision Rehabilitation 152WL0500X 4901003354 Michigan
Eye and Vision Services Providers / Pediatrics 152WP0200X 4901003354 Michigan
Eye and Vision Services Providers / Sports Vision 152WS0006X 4901003354 Michigan
Eye and Vision Services Providers / Vision Therapy 152WV0400X 4901003354 Michigan

Profile Details

NPI number 1578557443
LBN Legal business name Johnson, Heidi L
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 7th, 2005
Last updated Apr 10th, 2024 - about 7 months ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1578557443 NPPES
Michigan MEDICAID 3115352
Michigan Other 900E265343

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