MR. MATTHEW BRANT JOHNSON (NPI# 1144612334) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1144612334 |
| Entity Type | Individual |
| Full Name | MR. MATTHEW BRANT JOHNSON |
| Credential | LDO |
| Practice Address |
1 Porter Sq Cambridge MA 02140-1431 |
| Practice Telephone | 6178647005 |
| Practice Fax Number | 6178643250 |
| Mailing Telephone | 6178647005 |
| Mailing Fax Number | 6178643250 |
| Enumeration Date | 2015-02-24 |
| Last Update Date | 2015-02-24 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 156FC0801X |
Technician/Technologist Specialization: Contact Lens Fitter |
6429 | MA | Eye and Vision Services Providers |
| Y | 156FX1800X |
Technician/Technologist Specialization: Optician |
6429 | MA | Eye and Vision Services Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336706514 | Matthew Thomas Johnson | Counselor | 4643 American Legion Rd Se, Iowa City, IA 52240-9057 | 2019-05-23 |
| 1053870717 | Matthew Johnson | Physician Assistant | 900 Ocean Beach Hwy Ste 110, Longview, WA 98632 | 2019-03-12 |
| 1023523016 | Matthew Johnson | Specialist/Technologist | 51 Armstrong Rd, Enfield, CT 06082-2731 | 2017-12-12 |
| 1881105914 | Matthew Alan Johnson | Optometrist | 360 Merrimack St Bldg 91, Lawrence, MA 01843-1740 | 2017-10-16 |
| 1801324991 | Matthew Allen Johnson | Psychologist | 1812 Sumner Ave Ste 1, Aberdeen, WA 98520-4602 | 2017-06-01 |
| 1306377288 | Matthew Johnson | Specialist/Technologist | 713 Mill Grove Dr, Audubon, PA 19403 | 2017-03-23 |
| 1386026003 | Matthew Johnson | Dentist | 72 Ashe St Apt A, Charleston, SC 29403-5964 | 2015-06-18 |
| 1992183057 | Matthew Johnson | Specialist/Technologist | 18220 San Lucas Ct, Brookfield, WI 53045-3870 | 2015-05-11 |
| 1487058582 | Matthew John Johnson | Specialist/Technologist | 27 Whittier Dr, Greenlawn, NY 11740-2609 | 2014-10-17 |
| 1265845945 | Matthew Johnson | Behavioral Analyst | 504 S Hays Ave Apt 5, Carbondale, IL 62901-2631 | 2014-06-10 |
| Street Address |
1 PORTER SQ |
| City | CAMBRIDGE |
| State | MA |
| Zip Code | 02140-1431 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457316259 | Scott Wayne Sylvia | Optometrist | 1 Porter Sq, Cambridge, MA 02140-1431 | 2006-04-18 |
| 1811388515 | Matthew Benson | Technician/Technologist | 1 Porter Sq, Cambridge, MA 02140-1431 | 2015-02-17 |
| 1912398793 | Andrea Desimone | Technician/Technologist | 1 Porter Sq, Cambridge, MA 02140-1431 | 2015-02-14 |
| 1720316227 | Nicole Makhoul | Dentist | 1 Porter Sq, Suite 11, Cambridge, MA 02140-1431 | 2009-11-23 |
| 1649394925 | Margot Seligman Dba Margot Seligman Od | Optometrist | 1 Porter Sq, Cambridge, MA 02140-1431 | 2007-03-19 |
| 1427196351 | Parrelli Optical, Inc | Technician/Technologist | 1 Porter Sq, Cambridge, MA 02140-1431 | 2007-02-02 |
| 1528120524 | Margot Sue Seligman | Optometrist | 1 Porter Sq, Cambridge, MA 02140-1431 | 2006-12-15 |
| 1427124569 | Hung Nguyen | Dentist | 1 Porter Sq, Suite 11, Cambridge, MA 02140-1431 | 2006-11-28 |
| 1083719371 | Cheryl Depalo A Jost | Optometrist | 1 Porter Sq, Cambridge, MA 02140-1431 | 2006-09-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942819784 | Bluesky Telepsych, Inc. | Psychiatry & Neurology | 125 Cambridge Park Drive, Suite 306, Cambridge, MA 02140 | 2020-07-28 |
| 1043837990 | Nancy Villa | Community/Behavioral Health | 10 Concord Tpke, Cambridge, MA 02140 | 2020-06-26 |
| 1356976625 | Jennifer Ahonen | Nurse Practitioner | 36 White Street, Cambridge, MA 02140 | 2020-03-07 |
| 1366961120 | Boston Eye Care Center, LLC | Ophthalmology | 2464 Massachusetts Ave Ste 200, Cambridge, MA 02140 | 2017-09-13 |
| 1992225015 | Figen Esen | Student in an Organized Health Care Education/Training Program | 160 Cabridgepark Drive, Apt 295, Cambridge, MA 02140 | 2017-06-20 |
| 1063870038 | Kelli Swensen | Dietitian, Registered | 160 Cambridge Park Dr, 168, Cambridge, MA 02140 | 2016-02-05 |
| 1851731822 | Gabriella Maree Pugliese | Pharmacist | 822 Somerville Ave, Cambridge, MA 02140 | 2013-07-04 |
| 1609211531 | Hyuna Lee | Dentist | 160 Cambridgepark Drive, Suite 390, Cambridge, MA 02140 | 2013-05-06 |
| 1740555366 | Aesook Kwon | Registered Nurse | 1493 Cambrige St, Cambridge Hospital, Cambrige, MA 02140 | 2012-03-14 |
| 1740557743 | In Sync Physical Therapy, LLC | Clinic/Center | 1798a Massachusetts Avenue, Suite 2, Cambridge, MA 02140 | 2011-11-19 |
| Find all providers in zip 02140 | ||||
| Taxonomy Code | 156FX1800X |
| Grouping | Eye and Vision Services Providers |
| Classification | Technician/Technologist |
| Specialization | Optician |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295389765 | Yulia Levit | Technician/Technologist | 1208 Massachussets Av, Cambridge, MA 02138 | 2019-08-01 |
| 1841589058 | Wal-mart Stores East Lp | Technician/Technologist | 2775 Dorchester Square, Cambridge, MD 21613 | 2011-03-29 |
| 1497842603 | Harvard Sq. Optical, Inc. | Technician/Technologist | 65 Mount Auburn St, Cambridge, MA 02138-4928 | 2006-10-07 |
| 1477658581 | Wal-mart Stores East, Lp | Technician/Technologist | 61215 Southgate Rd, Cambridge, OH 43725-8945 | 2006-09-13 |
| 1275519258 | Justin C Wehr Od Inc | Technician/Technologist | 1225 Southgate Pkwy, Cambridge, OH 43725-2944 | 2005-12-21 |
| 1629425632 | Todd Handel | Technician/Technologist | 19 Dunster St, Cambridge, MA 02138-5002 | 2016-05-19 |
| 1679789366 | Kevork Tinkjian | Technician/Technologist | 50 Prospect St, Cambridge, MA 02139-2401 | 2007-05-16 |
| 1427196351 | Parrelli Optical, Inc | Technician/Technologist | 1 Porter Sq, Cambridge, MA 02140-1431 | 2007-02-02 |
| 1154402659 | Wal-mart Stores, Inc. | Technician/Technologist | 2101 2nd Ave Se, Cambridge, MN 55008-4137 | 2006-10-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609473560 | Irma Montanez | Technician/Technologist | 71 Lyndale St, Springfield, MA 01108-2410 | 2020-10-05 |
| 1609491331 | David Miller | Technician/Technologist | 10 Merrimack St, Lowell, MA 01852-1722 | 2020-06-09 |
| 1538718796 | Lauren Downey | Technician/Technologist | 40 Industrial Park Rd # 202, Plymouth, MA 02360-4884 | 2019-09-10 |
| 1841769460 | Jeffrey Shwom | Technician/Technologist | 40 Holland Street, 1st Floor, Somerville, MA 02144 | 2018-11-14 |
| 1689161846 | Andrew Metz | Technician/Technologist | 188 Park Ave, Worcester, MA 01609-2240 | 2018-04-13 |
| 1144720301 | See South End Inc | Technician/Technologist | 681 Tremont St Unit 1, Boston, MA 02118-1281 | 2018-02-14 |
| 1528570702 | Michael Josef Leduc | Technician/Technologist | 73 Home St Apt 1, Fall River, MA 02720-5315 | 2017-10-28 |
| 1235649955 | Nickolas Linna | Technician/Technologist | 120 East St, Ludlow, MA 01056-3409 | 2017-10-08 |
| 1750819991 | Eye Center Optical, Inc. | Technician/Technologist | 13 Walnut Street, Winchendon, MA 01475 | 2017-06-01 |
| 1720522386 | Patrick Pender | Technician/Technologist | 84 Boston Tpke, Unit 2b, Shrewsbury, MA 01545-3601 | 2016-12-15 |
| Find all providers with the same taxonomy | ||||
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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.