Dale Johnson Od Llc - Optometrist in Sault Sainte Marie, MI

Dale Johnson Od Llc is a Optometrist - Vision Therapy based in Sault Sainte Marie, Michigan. Dale Johnson Od Llc is licensed to practice in Michigan (license number 4901002749) and their current practice location is 724 Cedar St, Sault Sainte Marie, Michigan. It can be reached at their office (for appointments etc.) via phone at (906) 632-2020.

NPI number for Dale Johnson Od Llc is 1609828870 and their current mailing address is 724 Cedar St, Sault Sainte Marie, Michigan. Dale Johnson Od Llc does not participate in medicare program and thus does not accept medicare assignments. The facility's NPI Number is 1609828870.

Contact Information

Dale Johnson Od Llc
724 Cedar St,
Sault Sainte Marie, MI 49783-2410
(906) 632-2020
Not Available

Map and Direction




Healthcare Provider's Profile

Full NameDale Johnson Od Llc
TypeFacility
SpecialityOptometrist - Vision Therapy
Location724 Cedar St, Sault Sainte Marie, Michigan
Accepts Medicare AssignmentsDoes not participate in Medicare Program. The facility may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1609828870
  • Provider Enumeration Date: 05/16/2006
  • Last Update Date: 07/29/2015

Medical Identifiers

Medical identifiers for Dale Johnson Od Llc such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1609828870NPI-NPPES
4578107MedicaidMI
0P31680OtherMEDICARE PLUS BLUE
900A710230OtherBLUE CROSS BLUE SHIELD

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
152WV0400XOptometrist - Vision Therapy 4901002749 (Michigan)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dale Johnson Od Llc is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Dale Johnson Od Llc
724 Cedar St,
Sault Sainte Marie, MI 49783-2410

Ph: (906) 632-2020
Dale Johnson Od Llc
724 Cedar St,
Sault Sainte Marie, MI 49783-2410

Ph: (906) 632-2020

Reviews and Comments


Optometrist in Sault Sainte Marie, MI

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Dr. Tom K Culina, OD
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Kelly Fisher Optometry Llc
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Medicare: Accepting Medicare Assignments
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Phone: 906-623-7258    Fax: 906-635-0581
Brian Matthews O.d. L.l.c.
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Practice Location: 128 W Spruce St, Sault Sainte Marie, MI 49783
Phone: 906-635-9600    

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