Lee Michael Johnson, O.D.

Optometrist · Tillamook, OR

Individual Active NPI

NPI number 1104113497

Practice location

800 Main Ave Ste a
Tillamook, OR 97141-3760
Phone
(503) 842-5568

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NPI record

NPI
1104113497
Entity type
Individual (Type 1)
Enumeration date
July 7, 2011
Last updated
August 21, 2022
Certified
August 21, 2022
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Optometrist Primary 152W00000X AT-4289 OR
Optometrist 152W00000X 2698 GA

Other practice locations (1)

  • 1061 Harmon Ave, Fort Stewart, GA 31314-5641 · (912) 435-6633

About Dr. Johnson

Lee Michael Johnson, O.D. is a healthcare provider registered in the NPI registry with the primary taxonomy Optometrist (code 152W00000X). The practice location is 800 Main Ave Ste a, Tillamook, OR 97141-3760. The NPI number 1104113497 was assigned on July 7, 2011 and the record was last updated on August 21, 2022.

Dr. Johnson lists 2 licenses in the registry: #AT-4289 (OR) for Optometrist; #2698 (GA) for Optometrist. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Lee Michael Johnson, O.D.?

The NPI number is 1104113497.

What is the phone number of Dr. Johnson?

The phone number listed for the practice location is (503) 842-5568.

Where is Dr. Johnson located?

800 Main Ave Ste a, Tillamook, OR 97141-3760.

What is the taxonomy code for Dr. Johnson?

The primary taxonomy code is 152W00000X – Optometrist; 1 more listed above.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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