T K JOHNSON (NPI# 1073612107) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073612107 |
| Entity Type | Individual |
| Full Name | T K JOHNSON |
| Credential | O.D. |
| Practice Address |
5908 Eastman Ave Midland MI 48640-6748 |
| Practice Telephone | 9896367200 |
| Practice Fax Number | 9896367210 |
| Mailing Telephone | 9896367200 |
| Mailing Fax Number | 9896367210 |
| Enumeration Date | 2006-09-22 |
| Last Update Date | 2012-03-19 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 152W00000X | Optometrist | 4901002282 | MI | Eye and Vision Services Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | 1547439 | 05 | |
| MI | BLUE CROSS BLUE SHIELD | 9OOE665040 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568537058 | T Kelly Johnson | Counselor | 726 S Washington Ave, Madison, SD 57042-3519 | 2006-11-21 |
| 1992962823 | T Leanne Johnson | Social Worker | 5201 Bishops Blvd S, Suite B, Fargo, ND 58104-7608 | 2008-05-19 |
| Street Address |
5908 EASTMAN AVE |
| City | MIDLAND |
| State | MI |
| Zip Code | 48640-6748 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770826885 | Midland Eye Care, Plc | Optometrist | 5908 Eastman Ave, Midland, MI 48640-6748 | 2013-03-27 |
| 1194042499 | T.k. Johnson Od PC | Durable Medical Equipment & Medical Supplies | 5908 Eastman Ave, Midland, MI 48640-6748 | 2010-04-26 |
| 1568613198 | Dennis M Johnson Od PC | Optometrist | 5908 Eastman Ave, Midland, MI 48640-6748 | 2008-10-01 |
| 1730330366 | Paul F Walker Od PC | Optometrist | 5908 Eastman Ave, Midland, MI 48640-6748 | 2008-10-01 |
| 1255521597 | Lisa Ann Daws | Optometrist | 5908 Eastman Ave, Midland, MI 48640-6748 | 2007-08-01 |
| 1871692905 | Dennis M Johnson | Optometrist | 5908 Eastman Ave, Midland, MI 48640-6748 | 2006-09-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407481260 | Sdpa Management Pllc | Dentist | 4915 Jefferson Ave., Midland, MI 48640 | 2020-03-11 |
| 1598237364 | Michelle Marie Arthur | Occupational Therapist | 3007 North Saginaw Rd, Midland, MI 48640 | 2018-12-18 |
| 1295202349 | Personal Assistance Options | Private Vehicle | 1509 Washington Street, Suite C, Midland, MI 48640 | 2018-10-26 |
| 1972094720 | Ashley E Cline | Technician, Other | 5405 Oakridge Dr., Midland, MI 48640 | 2018-05-27 |
| 1669963898 | Hope Richelle Walker | Social Worker | 396 S 9 Mile Rd, Midland, MI 48640 | 2018-05-23 |
| 1568964807 | David Isaac Bearss | Physical Therapist | 4401 Campus Ridge Drive, Suite 1000, Midland, MI 48640 | 2018-03-02 |
| 1295237741 | Ashley Michelle Ghose | Physical Therapist | 4401 Campus Ridge Drive Suite 1000, Midland, MI 48640 | 2018-03-01 |
| 1801306055 | Elizabeth Diana Dickerson | Social Worker | 218 Fast Lane Drive, Midland, MI 48640 | 2017-10-02 |
| 1528502275 | Sheila Jensen | Behavior Technician | 248 E Dopp Rd, Midland, MI 48640 | 2016-12-15 |
| 1518328657 | Becky Staudacher | Technician, Other | 707 Mill St, Midland, MI 48640 | 2016-03-17 |
| Find all providers in zip 48640 | ||||
| Taxonomy Code | 152W00000X |
| Grouping | Eye and Vision Services Providers |
| Classification | Optometrist |
| Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system. |
| Notes: Source: American Optometric Association (AOA), approved by the AOA’s Board of Trustees, June 21, 2005. [7/1/2006: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548861164 | Daniel & Max, LLC | Optometrist | 3110 N Loop 250 W, Suite 200, Midland, TX 79707 | 2020-11-02 |
| 1134469190 | Bobby G Ray Od Pa | Optometrist | 4400 N Midland Dr Ste 404, Midland, TX 79707-3388 | 2013-02-27 |
| 1255567202 | William R Houser Od | Optometrist | 217 N Saginaw Rd, Midland, MI 48640-3350 | 2009-06-04 |
| 1790966646 | Scott M. Buckingham, Od PC | Optometrist | 2808 W Wackerly St, Suite 1, Midland, MI 48640-6997 | 2007-11-20 |
| 1528269396 | Norman Gould | Optometrist | 4511 N Midkiff Rd Ste A1, Midland, TX 79705-3237 | 2007-05-30 |
| 1043341811 | Eye Center of Midland, P.a. | Optometrist | 2706 W Cuthbert Ave Ste A, Midland, TX 79701-3885 | 2007-03-07 |
| 1962547299 | Errol Raymond Congleton | Optometrist | 509 S Saginaw Rd, Midland, MI 48640-4516 | 2007-02-21 |
| 1255474771 | Deanna Hiroko Masunaga | Optometrist | 5701 Highland Blvd, Midland, TX 79707-5024 | 2007-02-15 |
| 1396805123 | Stephen Lee Hankinson | Optometrist | 3415 Andrews Hwy, Midland, TX 79703-5149 | 2006-12-11 |
| 1164435665 | Jeannie Gray | Optometrist | 3500 N Midkiff Rd, Suite 100, Midland, TX 79705-4834 | 2006-08-14 |
| Find all providers in MIDLAND | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.