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DALE JOHNSON OD LLC
NPI 1609828870
Optometrist - Vision Therapy in Sault Sainte Marie, MI

Active since May 16, 2006
724 CEDAR ST, SAULT SAINTE MARIE, MI 49783(906) 632-2020 Get Directions Write a Review

NPPES record last updated: July 29, 2015. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dale Johnson Od Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DALE JOHNSON OD LLC (NPI 1609828870) is a healthcare organization registered as a vision therapy in Sault Sainte Marie, Michigan and active in the NPI registry since May 2006. The organization lists Dale Johnson, Manager, as its authorized official.

NPPES Registry Identity

NPI1609828870
Entity TypeOrganization
Primary Taxonomy152WV0400X
Legal Business NameDALE JOHNSON OD LLC
Location Address724 CEDAR STSault Sainte Marie, MI 49783-2410
Mailing Address724 Cedar StSault Sainte Marie, MI 49783-2410 · (906) 632-2020
Phone(906) 632-2020
Organization SubpartNo
Authorized OfficialDale JohnsonManager · (906) 632-2020
Enumeration DateMay 16, 2006
Last NPPES UpdateJuly 29, 2015
✔ NPI 1609828870 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOptometrist · Vision TherapyEye and Vision Services Providers
Taxonomy Code152WV0400X
License✔ Licensed in MI · 4901002749
Definition
Optometrists who specialize in vision therapy as a treatment process used to improve vision function. It includes a broad range of developmental and rehabilitative treatment programs individually prescribed to remediate specific sensory, motor and/or visual perceptual dysfunctions.
724 CEDAR ST, Sault Sainte Marie, MI 49783
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Other Identifiers 4

Medicare PIN0P31680MI
Other0P31680Medicare Plus Blue
Medicaid4578107MI
Other900A710230Blue Cross Blue Shield

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. DALE JOHNSON O.D.
Optometrist
724 CEDAR ST
SAULT SAINTE MARIE, MI 49783
Chippewa County (906) 632-2020

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Dale Johnson Od LLC's NPI number?

The NPI number for Dale Johnson Od LLC is 1609828870. It was assigned to this organization in the NPPES registry on May 16, 2006.

Where is Dale Johnson Od LLC located?

Dale Johnson Od LLC is located at 724 Cedar St, Sault Sainte Marie, MI 49783. The listed phone number is (906) 632-2020.

What is Dale Johnson Od LLC's specialty?

The primary specialty registered for this NPI is Optometrist, specializing in Vision Therapy, with taxonomy code 152WV0400X.

When was this NPI record last updated?

The NPPES record for Dale Johnson Od LLC was last updated on July 29, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.