Johnson, Michael Addison
Johnson, Michael Addison is an individual health care provider with primary practice located at 5049 Valley View Blvd Nw , Roanoke VA 24012-2074. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Johnson, Michael Addison can be contacted via phone (540) 362-7565.Contact Information
Primary practice address
5049 Valley View Blvd Nw
Roanoke VA 24012-2074
Phone: (540) 362-7565
Fax: (540) 563-0441
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | 0618001408 | Virginia |
Profile Details
| NPI number | 1437125234 |
|---|---|
| LBN Legal business name | Johnson, Michael Addison |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 23rd, 2006 |
| Last updated | Jan 10th, 2024 - about last year |
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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1437125234 | NPPES |
| Virginia | Other | 184520 | ANTHEM |
| Virginia | MEDICAID | 010196809 | ANTHEM |
| Virginia | Other | 0637850001 | ANTHEM |
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