DR. MATTHEW JAMES JOHNSON (NPI# 1700985645) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1700985645 |
| Entity Type | Individual |
| Full Name | DR. MATTHEW JAMES JOHNSON |
| Credential | OD |
| Practice Address |
800 N 1st St Wausau WI 54403-4754 |
| Practice Telephone | 7152618500 |
| Practice Fax Number | 7152618665 |
| Mailing Telephone | 7152618500 |
| Mailing Fax Number | 7152618665 |
| Enumeration Date | 2006-09-21 |
| Last Update Date | 2020-10-07 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 152W00000X | Optometrist | 2754 | WI | Eye and Vision Services Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WI | 38619000 | 05 |
| 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 |
800 N 1ST ST |
| City | WAUSAU |
| State | WI |
| Zip Code | 54403-4754 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780071662 | John Alexander Flatter | Ophthalmology | 800 N 1st St, Wausau, WI 54403-4754 | 2015-04-18 |
| 1710390331 | Afua Annor Shin | Ophthalmology | 800 N 1st St, Wausau, WI 54403 | 2014-06-11 |
| 1083024574 | Deepak Sambhara | Ophthalmology | 800 N 1st St, Wausau, WI 54403-4754 | 2014-05-06 |
| 1164773685 | Thomas Boostrom | Nurse Anesthetist, Certified Registered | 800 N 1st St, Wausau, WI 54403-4754 | 2012-09-24 |
| 1831446707 | Jennifer Nicole Marcell | Optometrist | 800 N 1st St, Wausau, WI 54403-4754 | 2012-08-10 |
| 1215283866 | Ec Laser and Surgery Institute of Wi, LLC | Clinic/Center | 800 N 1st St, Suite 100, Wausau, WI 54403-4754 | 2012-08-01 |
| 1033371745 | Christopher J Kucharski | Ophthalmology | 800 N 1st St, Wausau, WI 54403-4754 | 2008-06-25 |
| 1063612497 | Benjamin Reed Clark | Optometrist | 800 N 1st St, Wausau, WI 54403-4754 | 2007-07-24 |
| 1912101213 | Mathew Warren Aschbrenner | Ophthalmology | 800 N 1st St, Wausau, WI 54403-4754 | 2007-06-12 |
| 1235156985 | Lori J Rogers-fish | Audiologist | 800 N 1st St, Wausau, WI 54403-4754 | 2006-07-17 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932714292 | Human Services Board Serving North Central Health Care Facility | Special Hospital | 2380 Marshall St., Wausau, WI 54403 | 2020-09-14 |
| 1396129755 | Aimee Budleski | Counselor | 530 Grant Street, Wasuau, WI 54403 | 2015-07-16 |
| 1467861328 | Nevin Grossnickle | Massage Therapist | 319 4th Street, Ll, Wausau, WI 54403 | 2014-08-05 |
| 1609297860 | Brian Christus | Counselor | 209 West Washington Street Suite B., Wausau, WI 54403 | 2013-12-13 |
| 1376983676 | Jacqueline J Streveler | Counselor | 741 N First St, Wausau, WI 54403 | 2013-07-01 |
| 1033468947 | Tonia Yvette Backman | Social Worker | 1810 North 2nd Street, Wausau, WI 54403 | 2012-09-06 |
| 1730436551 | Ashley L Schulz | Registered Nurse | 1005 Colonial Rd, Wausau, WI 54403 | 2012-08-10 |
| 1093061939 | Kimberly Gilray | Physical Therapist | 1100 Lakeview Drive, Wausau, WI 54403 | 2012-07-30 |
| 1841594603 | Daniel L. Schaut | Dentist | 1723 Mulligan Dr., Wausau, WI 54403 | 2011-01-07 |
| 1982836813 | Eric J Gabrielsen | Dentist | 200 E. Bridge St., Ste-100, Wausau, WI 54403 | 2009-08-11 |
| Find all providers in zip 54403 | ||||
| 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 |
|---|---|---|---|---|
| 1659729580 | Kelsey B Koerner | Optometrist | 205 W Bridge St Ste 101, Wausau, WI 54401-3000 | 2016-06-01 |
| 1326441387 | Ea Sanders, Od LLC | Optometrist | 2509 Bufflehead Ave, Wausau, WI 54401-9191 | 2014-10-06 |
| 1083764971 | Wayne R Busick | Optometrist | D400 Wausau Ctr, Wausau, WI 54403-5508 | 2007-01-11 |
| 1477667475 | Richard Lee Felty | Optometrist | 217 S 52nd Ave, Wausau, WI 54401-8068 | 2006-08-18 |
| 1093777815 | Robert Kessen | Optometrist | 2100 Stewart Ave, Suite 120, Wausau, WI 54401-1700 | 2006-04-05 |
| 1578530648 | Brian Damien Puent | Optometrist | 2600 Rib Mountain Dr Ste 120, Wausau, WI 54401 | 2006-03-07 |
| 1417929761 | R Christopher Marquardt | Optometrist | 515 N 17th Ave, Wausau, WI 54401-2910 | 2006-02-02 |
| 1760093843 | Erica Kirk | Optometrist | 2100 Stewart Ave Ste 120, Wausau, WI 54401-1707 | 2020-08-12 |
| 1770143984 | Lauren Mae Leurquin | Optometrist | 205 W Bridge St, Wausau, WI 54401-3000 | 2019-06-19 |
| 1790217503 | Sean Sarazen | Optometrist | 2727 Plaza Dr, Wausau, WI 54401-4129 | 2017-03-30 |
| Find all providers in WAUSAU | ||||
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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.