Andrew Johnson (NPI# 1124320817, PAC ID# 4082834510) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is OPTOMETRY.
| Nation Provider ID (NPI) | 1124320817 |
| PAC ID by PECOS | 4082834510 |
| Professional Enrollment ID | I20141006001803 |
| Full Name | Andrew Johnson |
| Organization Legal Name | JACKSON VISION LLC |
| Address |
817 W Ganson St Jackson MI 49202-4202 |
| Phone Number | 5177824300 |
| Gender | M |
| Medical School | FERRIS STATE COLLEGE - COLLEGE OF OPTOMETRY |
| Graduation Year | 2014 |
| Primary Specialty | OPTOMETRY |
| Group Practice PAC ID | 1254328396 |
| Number of Group Practice Members | 2 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 817 W Ganson St, Jackson, MI 49202-4202 | 5177824300 | JACKSON VISION LLC |
| Organization Legal Name | JACKSON VISION LLC |
| Physicians | 1 |
| Street Address |
817 W GANSON ST |
| City | JACKSON |
| State | MI |
| Zip | 49202-4202 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Steven G Johnson | Optometry | 817 W Ganson St, Jackson, MI 49202-4202 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Michael Stephen Somero | Infectious Disease | W A Foote Memorial Hospital Inc | 2200 Springport Rd, Suite 240, Jackson, MI 49202-1432 |
| Blake Andrew Brannick | Podiatry | W A Foote Memorial Hospital Inc | 2200 Springport Rd, Suite 500, Jackson, MI 49202-1432 |
| Shoshana Woo Ambani | Plastic and Reconstructive Surgery | W A Foote Memorial Hospital Inc | 2200 Springport Rd, Suite 240, Jackson, MI 49202-1432 |
| Daniel Piekarek | Nurse Practitioner | W A Foote Memorial Hospital Inc | 2200 Springport Rd, Suite 260, Jackson, MI 49202-1432 |
| Mallorie Kettlehut | Nurse Practitioner | W A Foote Memorial Hospital Inc | 2200 Springport Rd, Suite 500, Jackson, MI 49202-1432 |
| Matthew R Jonovich | Interventional Cardiology | W A Foote Memorial Hospital Inc | 2200 Springport Rd, Suite 240, Jackson, MI 49202-1432 |
| Ashley Elizabeth Poirier | Nurse Practitioner | W A Foote Memorial Hospital Inc | 2200 Springport Rd, Suite 500, Jackson, MI 49202-1432 |
| Elena Gupta | Internal Medicine | W A Foote Memorial Hospital Inc | 2200 Springport Rd, Suite 500, Jackson, MI 49202-1432 |
| Melissa Cerqueira | Clinical Social Worker | W A Foote Memorial Hospital Inc | 2200 Springport Rd, Suite 200, Jackson, MI 49202-1432 |
| Vincent R Elie | Hospice/palliative Care | W A Foote Memorial Hospital Inc | 2200 Springport Rd, Suite 500, Jackson, MI 49202-1432 |
| Find all physicians in zip 49202 | |||
| City | JACKSON |
| Zip Code | 49202 |
| Specialty | OPTOMETRY |
| City + Specialty | JACKSON + OPTOMETRY |
Please comment or provide details below to improve the information on Andrew Johnson.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.