Johnson, Matthew Brant

Johnson, Matthew Brant is an individual health care provider with primary practice located at 1 Porter Sq , Cambridge MA 02140-1431. He recently has 2 registered licenses in different health care specialties including Eye and Vision Services Providers / Contact Lens Fitter, Eye and Vision Services Providers / Optician. Eye and Vision Services Providers / Optician is his primary health care specialty. Johnson, Matthew Brant can be contacted via phone (617) 864-7005.

Contact Information

Primary practice address
1 Porter Sq Cambridge MA 02140-1431
Phone: (617) 864-7005
Fax: (617) 864-3250
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Contact Lens Fitter 156FC0801X 6429 Massachusetts
Eye and Vision Services Providers / Optician 156FX1800X 6429 Massachusetts

Profile Details

NPI number 1144612334
LBN Legal business name Johnson, Matthew Brant
Credentials LDO
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 24th, 2015
Last updated Feb 24th, 2015 - about 9 years 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.

Request for update

Popular Providers