Kevin D Johnson in Port Huron - Ophthalmology
Kevin D Johnson - NPI 1184721599
Kevin D Johnson is a Ophthalmology in Port Huron, Michigan. Kevin D Johnson practices all healthcare services and medical treatments related to Ophthalmology. The NPI Number for Kevin D Johnson is 1184721599. The last update date is 2007-07-09.
Kevin D Johnson's current location address is 2609 Electric Ave, Port Huron, Michigan. You can contact this provider via phone number 8109821300 and fax number 8109829802. The mailing address for Kevin D Johnson is 2609 Electric Ave, Port Huron, Michigan. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Kevin D Johnson |
|---|---|
| Address | 2609 Electric Ave, Port Huron, Michigan |
| Phone Number | 8109821300 |
| Fax Number | 8109829802 |
| Sole Proprietor | N |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1184721599 |
|---|---|
| Provider Enumeration Date | 2006-09-20 |
| Last Updated Date | 2007-07-09 |
Provider Mailing Address Detail
| Address | 2609 Electric Ave |
|---|---|
| City | Port Huron |
| State | Michigan (MI) |
| Post Code | 480606589 |
| Phone Number | 8109821300 |
| Fax Number | 8109829802 |
Provider's Primary Taxonomy Detail
| Speciality | Ophthalmology |
|---|---|
| Taxonomy | 207W00000X |
| Licence No | 4301054492 |
|
Definition: An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This incl |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 1807401112 | MI | BCBSM | |
| 2923602 | MI | -- | |
| 3149682 | MI | -- |
Post Comment/ Review Below
What is the unique 10-digit identifier code issued to Kevin D Johnson by the Centers for Medicare & Medicaid Services?
The Kevin D Johnson has been assigned the NPI (National Provider Identifier) 1184721599 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Where is the Kevin D Johnson located?
The Kevin D Johnson is located at 2609 Electric Ave, Port Huron, MI 480606589.
What is the Kevin D Johnson's specialty and taxonomy code?
The Kevin D Johnson's specialty is Ophthalmology, and the corresponding taxonomy code is 207W00000X.
On what date was the 1184721599 assigned to Kevin D Johnson?
The Kevin D Johnson was issued its 1184721599 on 2006-09-20, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
When was the information pertaining to Kevin D Johnson most recently updated or revised?
The details related to Kevin D Johnson, including its address, specialty, and other relevant information, were last updated or revised on 2007-07-09.
NPI Number: 1912900614
Address: 3558 Jefferson St N Ste 1, Lewisburg, WV