| Michael Johnson, MD | |
|
275 Thomas Indian School Dr, Irving, NY 14081-9341 | |
| (716) 532-5582 | |
| (716) 242-6344 |
| Full Name | Michael Johnson |
|---|---|
| Gender | Male |
| Speciality | Ophthalmology |
| Location | 275 Thomas Indian School Dr, Irving, New York |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1427017490 | NPI | - | NPPES |
| 192833-2 | Other | NY | WORKERS COMPENSATION |
| 005244893 | Other | NY | BLUE CROSS/ SHIELD |
| 0807662 | Other | NY | INDEPENDENT HEALTH ASS. |
| 00020009104 | Other | NY | UNIVERA HEALTH CARE |
| NY 2833 | Other | NY | EYE MED VISION CARE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207W00000X | Ophthalmology | 192833-1 (New York) | Primary |
| Entity Name | Seneca Nation of Indians |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1023033511 PECOS PAC ID: 8123920592 Enrollment ID: O20040126000146 |
| Mailing Address | Practice Location Address |
|---|---|
| Michael Johnson, MD 987 R C Hoag Dr, Salamanca, NY 14779-1365 Ph: (716) 945-5894 | Michael Johnson, MD 275 Thomas Indian School Dr, Irving, NY 14081-9341 Ph: (716) 532-5582 |
Mrs. Janice Ren Shaver, OPTICIAN Ophthalmology Medicare: Not Enrolled in Medicare Practice Location: 12657 Seneca Rd, Irving, NY 14081 Phone: 716-934-3300 Fax: 716-934-2040 |
Vishal Sharma, M.D. Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 12657 Seneca Rd, Irving, NY 14081 Phone: 716-934-3300 Fax: 716-934-3323 |