Terry Johnson

LBN: Terry Johnson
Terry Johnson is an health care organization with primary practice located at 5908 Eastman Ave , Midland MI 48640-6748. The organization recently has 2 registered licenses in different health care specialties including Eye and Vision Services Providers / Optician, Suppliers / Durable Medical Equipment & Medical Supplies. Eye and Vision Services Providers / Optician is the primary health care specialty. Terry Johnson can be contacted via phone (989) 636-7200, or through Burch, Denise E. via phone (989) 636-7200.

Contact Information

Primary practice address
5908 Eastman Ave Midland MI 48640-6748
Phone: (989) 636-7200
Fax: (989) 636-7210
Website:
Map and Directions
Authorized official contact:
Name: Burch, Denise E.
Phone: (989) 636-7200

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optician 156FX1800X 4901002282 Michigan
Suppliers / Durable Medical Equipment & Medical Supplies 332B00000X 4901002282 Michigan

Profile Details

NPI number 1194042499
LBN Legal business name Terry Johnson
DBA Doing business as
Authorized official Burch, Denise E.
Entity Organization
Organization subpart 1 No
Enumeration date Apr 26th, 2010
Last updated Apr 6th, 2022 - about 4 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1194042499 NPPES
Michigan MEDICAID 1547439

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