DR HEIDI JOHNSON OD PC (NPI# 1588680938) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1588680938 |
| Entity Type | Organization |
| Organization Name | DR HEIDI JOHNSON OD PC |
| Other Organization Name | SUPERIOR EYE HEALTH CENTER |
| Practice Address |
2822 Venture Dr Marquette MI 49855-8631 |
| Practice Telephone | 9062284401 |
| Practice Fax Number | 9062250460 |
| Mailing Telephone | 9062284401 |
| Mailing Fax Number | 9062250460 |
| Enumeration Date | 2006-07-15 |
| Last Update Date | 2009-03-27 |
| Authorized Official Name | HEIDI LEE JOHNSON (OWNER, OPTOMOTRIST) |
| Authorized Official Telephone | 9062284401 |
| Authorized Official Credential | O.D., F.C.O.V.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 152WP0200X |
Optometrist Specialization: Pediatrics |
Eye and Vision Services Providers | ||
| N | 152WV0400X |
Optometrist Specialization: Vision Therapy |
GU | Eye and Vision Services Providers | |
| Y | 152W00000X | Optometrist | MI | Eye and Vision Services Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | BCBS | 900E211060 | 01 |
| MI | 3115352 | 05 | |
| MI | BCBS | 900E265343 | 01 |
| Other Name | Type Code |
|---|---|
| Superior Eye Health Center | Doing Business As Name - Organization |
| Street Address |
2822 VENTURE DR |
| City | MARQUETTE |
| State | MI |
| Zip Code | 49855-8631 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578557443 | Heidi L Johnson | Optometrist | 2822 Venture Dr, Marquette, MI 49855-8631 | 2005-09-07 |
| 1518440817 | Stephen Herman | Optometrist | 2822 Venture Dr, Marquette, MI 49855-8631 | 2018-09-12 |
| 1033428719 | Horizon Healthworks PC | Chiropractor | 2822 Venture Dr, Suite 2, Marquette, MI 49855-8631 | 2010-09-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023665064 | Scott Allen Poirier | Physician Assistant | 850 West Baraga Avenue, Marquette, MI 49855 | 2019-08-23 |
| 1730734831 | Katelyn Tourville | Physician Assistant | 1401 Presque Isle Ave-health Center, Marquette, MI 49855 | 2019-08-06 |
| 1932681095 | Katelyn Longanbach | Physical Therapist | 841 W Washington St Ste 500, Marquette, MI 49855 | 2018-09-05 |
| 1366943979 | Meijer, Inc. | Durable Medical Equipment & Medical Supplies | 3630 Us 41 W, Marquette, MI 49855 | 2018-02-28 |
| 1518466143 | Orthopaedic Surgery Associates of Marquette PC | Prosthetic/Orthotic Supplier | 841 West Washington Street, Suite 100, Marquette, MI 49855 | 2018-02-09 |
| 1376075598 | Pamela Baynton | Licensed Practical Nurse | 2292 U.S. 41 W, Marquette, MI 49855 | 2017-03-28 |
| 1548709454 | Allison Jean Czarny | Registered Nurse | 160 E Wright Pl, Marquette, MI 49855 | 2017-02-13 |
| 1629427299 | Larry Chappel | Social Worker | 210 Chippewa Square, Suite 208, Marquette, MI 49855 | 2016-06-06 |
| 1366898348 | Carla Pate | Student in an Organized Health Care Education/Training Program | 235 Hunt Hall, Marquette, MI 49855 | 2016-05-10 |
| 1922479732 | Nicholas Wujcik | Student in an Organized Health Care Education/Training Program | 504 S Fifth St, Marquette, MI 49855 | 2015-10-20 |
| Find all providers in zip 49855 | ||||
| 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 |
|---|---|---|---|---|
| 1487030482 | Anna Baumgartner | Optometrist | 131w. Washington Street, Marquette, MI 49855 | 2015-08-03 |
| 1891810248 | Toss Optometry Inc | Optometrist | 131 W Washington Street, Marquette, MI 49855 | 2007-03-21 |
| 1033272570 | Steven D. Morris, P.C. | Optometrist | 621 N 3rd St, Marquette, MI 49855-3519 | 2006-12-18 |
| 1023112505 | Lawrence John Alto | Optometrist | 3 Pinehurst Dr, Marquette, MI 49855-9447 | 2006-09-12 |
| 1992712129 | Jon Patrick Webb | Optometrist | 131 W Washington St, Marquette, MI 49855-4378 | 2006-08-01 |
| 1861471427 | Scott K Sather | Optometrist | 622 N 3rd St, Marquette, MI 49855-3520 | 2006-01-12 |
| 1578557443 | Heidi L Johnson | Optometrist | 2822 Venture Dr, Marquette, MI 49855-8631 | 2005-09-07 |
| 1699392159 | Tabytha Boyak | Optometrist | 131 W Washington St, Marquette, MI 49855-4378 | 2020-07-01 |
| 1679132161 | Lindsey Ann Olesak | Optometrist | 622 N 3rd St, Marquette, MI 49855-3520 | 2019-06-10 |
| 1518440817 | Stephen Herman | Optometrist | 2822 Venture Dr, Marquette, MI 49855-8631 | 2018-09-12 |
| Find all providers in MARQUETTE | ||||
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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.