NPI 1073612107

T K Johnson, OD

Practitioner Optometrist Midland, MI

Practice location

Address: 5908 Eastman Ave, Midland, MI 48640-6748
Phone: (989) 636-7200
Fax: (989) 636-7210

Registered specialties

Optometrist Primary

Eye and Vision Services Providers Taxonomy 152W00000X Licence 4901002282 (MI)

Other Optometrist providers in Michigan →

Registry record

NPI: 1073612107
Entity type: Individual
Sex (as registered): Male
NPI issued: 22 Sep 2006
Record last updated: 19 Mar 2012

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.