LEE MICHAEL JOHNSON (NPI# 1104113497) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104113497 |
| Entity Type | Individual |
| Full Name | LEE MICHAEL JOHNSON |
| Credential | O.D. |
| Practice Address |
800 Main Ave Ste A Tillamook OR 97141-3760 |
| Mailing Address |
9226 S 2490 W West Jordan UT 84088-8522 |
| Practice Telephone | 5038425568 |
| Mailing Telephone | (360) 601-2953 |
| Enumeration Date | 2011-07-07 |
| Last Update Date | 2018-03-17 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 152W00000X | Optometrist | AT-4289 | OR | Eye and Vision Services Providers |
| N | 152W00000X | Optometrist | 2698 | GA | Eye and Vision Services Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1061 Harmon Ave, Fort Stewart, GA 313145641 | 9124356633 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144553991 | Lee Ann Johnson | Nurse Practitioner | 201 N Spring St, Fordyce, AR 71742-3315 | 2009-09-11 |
| 1780753772 | Lee R Johnson | Dentist | 657 Route 28, W Yarmouth, MA 02673-5034 | 2006-11-06 |
| 1356978860 | Lee Johnson | Student in an Organized Health Care Education/Training Program | 777 Bannock St # Mc0108, Denver, CO 80204-4507 | 2020-03-25 |
| 1881037182 | Lee Johnson | Registered Nurse | 4646 John R St, Detroit, MI 48201-1916 | 2013-04-17 |
| 1295081164 | Lee Evans Johnson | Case Manager/Care Coordinator | 721 Highway 46 S, Dickson, TN 37055-2565 | 2012-07-30 |
| 1346514577 | Lee Diahn Johnson | Speech-Language Pathologist | 4550 Colonial Blvd, Fort Myers, FL 33966-1017 | 2012-03-06 |
| 1700101060 | Lee Taylor Johnson | Obstetrics & Gynecology | 1906 Belleview Ave Se, Roanoke, VA 24014-1838 | 2010-03-30 |
| 1083876726 | Lee Johnson | Pediatrics | 2401 Village Professional Dr S, Opelika, AL 36801-4702 | 2008-06-25 |
| 1912109091 | Lee Arthur Johnson | Internal Medicine | 601 N Elm St, High Point, NC 27262-4331 | 2007-06-01 |
| 1700093135 | Lee N Johnson | Marriage & Family Therapist | 455 N Lumpkin St, Samaritan Counseling Center, Athens, GA 30601 | 2007-05-16 |
| Street Address |
800 MAIN AVE STE A |
| City | TILLAMOOK |
| State | OR |
| Zip Code | 97141-3760 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790215192 | Tvc Od, LLC | Clinic/Center | 800 Main Ave Ste A, Tillamook, OR 97141-3760 | 2017-06-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265062517 | Anna Cobarrubia | Health Educator | Tillamook Family Ymca, 610 Stillwell Ave., Tillamook, OR 97141 | 2020-01-24 |
| 1164066510 | Barbara Kay Shipman | Technician | 515 Laurel Ave., Tillamook, OR 97141 | 2019-10-29 |
| 1457848608 | Arnadene Vanebo | Dietitian, Registered | 801 Pacific Avenue, Tillamook, OR 97141 | 2018-04-13 |
| 1336339647 | Shirley Arneson | Nurse Practitioner | 1011 Third St, Bay Ocean Medical, PC, Tillamook, OR 97141 | 2007-08-01 |
| 1467595413 | County of Tillamook | Local Education Agency (LEA) | 6825 Officers Row, Tillamook, OR 97141 | 2007-02-15 |
| 1801998190 | Dave R Bizeau | Dentist | 2103 10th Street, Tillamook, OR 97141 | 2006-09-05 |
| 1134166481 | Cassandra Wolfson | Social Worker | 2507 Main Avenue N, Suite B, Tillamook, OR 97141 | 2006-06-02 |
| 1578535175 | Paul C Welch | Obstetrics & Gynecology | 1000 3rd Street, Tillamook, OR 97141 | 2006-02-07 |
| 1023514627 | Mehrdad Hairani | Dentist | 1010 Main Ave, Tillamook, OR 97141 | 2018-04-03 |
| 1467979609 | Karen Sheelar | Counselor | 801 Pacific Ave, Tillamook, OR 97141 | 2017-08-28 |
| Find all providers in zip 97141 | ||||
| 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 |
|---|---|---|---|---|
| 1639221690 | Raymond Keith Dehaan | Optometrist | 310 Stillwell Ave, Tillamook, OR 97141-2119 | 2007-01-18 |
| 1306821913 | Eric Halperin | Optometrist | 800 Main Ave, Suite A, Tillamook, OR 97141-3760 | 2005-12-07 |
| 1538419676 | Eyes of Oregon LLC | Optometrist | 102 Main Ave, Tillamook, OR 97141-2218 | 2012-09-17 |
| 1740546290 | Tillamook Optometric Clinic | Optometrist | 102 Main Ave, Tillamook, OR 97141-2218 | 2012-04-10 |
| 1386956522 | Rowland Vision Care Inc. | Optometrist | 2500 Main Ave N, Tillamook, OR 97141-7725 | 2010-07-03 |
| 1841275450 | Beatrice H Michel | Optometrist | 800 Main Ave, Suite A, Tillamook, OR 97141-3814 | 2005-12-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760080105 | Quest Mobile Vision | Optometrist | 1900 E Fulton St, Newberg, OR 97132-1806 | 2020-10-16 |
| 1376141754 | Aa Vision Corporation | Optometrist | 2474 Se Burnside Rd, Gresham, OR 97080-1247 | 2020-10-16 |
| 1578170387 | Zachary Willits | Optometrist | 8495 Crater Lake Hwy Bldg 212, White City, OR 97503-3011 | 2020-09-25 |
| 1790396471 | Erica Louise Bailey | Optometrist | 519 W North St, Enterprise, OR 97828-1044 | 2020-08-14 |
| 1477175453 | Pacific Eye Group, PC | Optometrist | 3205 Sw Cedar Hills Blvd Ste 9, Beaverton, OR 97005-1347 | 2020-05-12 |
| 1063034148 | Pacific Eye Group, PC | Optometrist | 10104 Sw Washington Square Rd Spc A02, Tigard, OR 97223-4457 | 2020-05-12 |
| 1457973992 | Tammy T Nguyen | Optometrist | 16801 Se Davidoff Way, Damascus, OR 97089-5801 | 2020-05-07 |
| 1629698642 | Prashna Mistry | Optometrist | College of Optometry, 2043 College Way, Forest Grove, OR 97116-1797 | 2020-04-20 |
| 1376162008 | Eyestrong, LLC | Optometrist | 3934 Ne Mlk Jr Blvd Ste 101, Portland, OR 97212-1153 | 2020-04-13 |
| 1740816768 | Allison Kuo | Optometrist | 3710 Sw Us Veterans Hospital Rd Bldg 1008c140, Portland, OR 97239-2964 | 2020-03-21 |
| Find all providers with the same taxonomy | ||||
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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.