DR. DALE JOHNSON (NPI# 1629029095) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629029095 |
| Entity Type | Individual |
| Full Name | DR. DALE JOHNSON |
| Credential | O.D. |
| Practice Address |
724 Cedar St Sault Sainte Marie MI 49783-2410 |
| Practice Telephone | 9066322020 |
| Mailing Telephone | 9066322020 |
| Enumeration Date | 2006-05-12 |
| Last Update Date | 2015-07-29 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 152W00000X | Optometrist | 4901002749 | MI | Eye and Vision Services Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | MEDICARE PLUS BLUE | P31680002 | 01 |
| MI | BCBS | DJ002749 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881171254 | Dale Johnson | Technician | 3900 Wheeler Rd Se Unit F, Washington, DC 20032-4376 | 2018-07-27 |
| 1427260595 | Dale Gilman Johnson | Surgery | 828 S California St, Helena, MT 59601-5669 | 2007-05-03 |
| 1669510525 | Dale J Johnson | Nurse Practitioner | 7 Wharf Road, Bolinas Family Practice, Bolinas, CA 94924 | 2007-02-02 |
| 1750474706 | Dale Alan Johnson | Dentist | 1717 W Church St, Freeport, IL 61032-4695 | 2006-10-02 |
| 1235189143 | Dale S. Johnson | Ophthalmology | 1319 Vivian St, Longmont, CO 80501-3216 | 2006-05-11 |
| 1447211404 | Dale Alan Johnson | Family Medicine | 820 Summit Ave, Prohealth Care Medical Associates Fp, Oconomowoc, WI 53066-3973 | 2006-03-30 |
| 1932647070 | Dale Johnson | Specialist/Technologist, Other | 7324 Southwest Fwy, Suite 1550, Houston, TX 77074-2012 | 2017-02-09 |
| 1508236928 | Dale Johnson | Registered Nurse | 101 S Moore Ave, Claremore, OK 74017-5047 | 2015-09-28 |
| 1366677890 | Dale D Johnson | Occupational Therapist | 915 Horton St, Fort Scott, KS 66701-2437 | 2009-05-28 |
| 1730344433 | Dale S Johnson | Optometrist | 983 W State Road 434, Longwood, FL 32750-5103 | 2008-07-22 |
| Street Address |
724 CEDAR ST |
| City | SAULT SAINTE MARIE |
| State | MI |
| Zip Code | 49783-2410 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609828870 | Dale Johnson Od LLC | Optometrist | 724 Cedar St, Sault Sainte Marie, MI 49783-2410 | 2006-05-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215541305 | Kevin P Cooper Dds PC | Dentist | 202 Brady Street, Sault Sainte Marie, MI 49783 | 2020-09-04 |
| 1033767512 | Louis William Bergman | Pharmacist | 3763 75 Business Spur, Sault Ste Marie, MI 49783 | 2019-08-28 |
| 1972076818 | Phyllis Mary Robertson | Speech-Language Pathologist | 2472 Ashmun Street, War Memorial Hospital Rehabilitation Centre, Sault Sainte Marie, MI 49783 | 2019-01-03 |
| 1831611748 | Thomas Matthew Choponis | Optometrist | 128 W Spruce St Ste 1, Sault Sainte Marie, MI 49783 | 2017-07-12 |
| 1730633223 | Holly D Statt | Dental Hygienist | 905 Marquette Ave, Sault Sainte Marie, MI 49783 | 2016-08-12 |
| 1316306590 | Debra Joyce Peake | Social Worker | 3865 South Mackinac Trail, Sault Ste Marie, MI 49783 | 2016-02-17 |
| 1629465935 | Jodi Johnson | Occupational Therapy Assistant | 1011 Merridian St, Sault Saint Marie, MI 49783 | 2015-04-24 |
| 1972885606 | Elizabeth Hayes | Social Worker | 3865 S Mackinac Trail, Sault Ste Marie, MI 49783 | 2011-09-20 |
| 1922252618 | Denise L. Montgomery | Registered Nurse | 500 Osborn Blvd., Sault Ste Marie, MI 49783 | 2008-11-08 |
| 1487829826 | Melanie A Cook | Eyewear Supplier (Equipment, not the service) | 1908 Ashman Street, Sault Ste Marie, MI 49783 | 2008-04-28 |
| Find all providers in zip 49783 | ||||
| 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 |
|---|---|---|---|---|
| 1831611748 | Thomas Matthew Choponis | Optometrist | 128 W Spruce St Ste 1, Sault Sainte Marie, MI 49783 | 2017-07-12 |
| 1275723744 | Tom K Culina | Optometrist | 4516 I 75 Business Spur, Walmart Vision Center, Sault Sainte Marie, MI 49783-9184 | 2007-07-30 |
| 1437173655 | Jeffrey William Lozen | Optometrist | 3360 I 75 Business Spur, Sault Sainte Marie, MI 49783-3605 | 2006-07-27 |
| 1518918077 | Kylie Louise Kaczmarczyk | Optometrist | 128 W Spruce St, Sault Sainte Marie, MI 49783-1959 | 2006-05-12 |
| 1528053683 | Eric Siesel | Optometrist | 3265 S. M-129, Sault Sainte Marie, MI 49783 | 2005-09-14 |
| 1134622525 | Optom Eye Care LLC | Optometrist | 128 W Spruce St Ste 1, Sault Sainte Marie, MI 49783-1959 | 2018-03-13 |
| 1356745442 | Kelly Fisher Optometry LLC | Optometrist | 3763 I 75 Business Spur, Sault Sainte Marie, MI 49783-3613 | 2014-10-17 |
| 1699020693 | Peter Joseph Merchand | Optometrist | 3360 I 75 Business Spur, Sault Sainte Marie, MI 49783-3605 | 2012-07-17 |
| 1487958609 | Brian Matthews O.d. L.L.C. | Optometrist | 128 W Spruce St, Sault Sainte Marie, MI 49783-1959 | 2011-01-03 |
| 1831401686 | Brian Daniel Matthews | Optometrist | 128 W Spruce St, Suite 1, Sault Sainte Marie, MI 49783-1959 | 2010-07-09 |
| Find all providers in SAULT SAINTE MARIE | ||||
| City | SAULT SAINTE MARIE |
| Zip Code | 49783 |
Please comment or provide details below to improve the information on DR. DALE JOHNSON.
| 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.