National Provider Identifier
Timothy Micah Johnson, O.D.
Timothy Micah Johnson, O.D. is listed in the NPPES registry with a primary specialty of Optometrist in Amherst, NY and a listed phone number of (716) 691-1192.
Profile Overview
- NPI
- 1790019008
- Provider Type
- Individual
- Primary Specialty
- Optometrist
- Enumeration Date
- September 21, 2009
- Last Updated
- December 14, 2018
Practice Location
- 3290 Sheridan Dr
- Amherst, NY 14226-1422
Phone: (716) 691-1192
Mailing Address
- 1 Fox Trce
- Lancaster, NY 14086-3072
Specialties
- Optometrist (152W00000X)
Full Record
- NPI
- 1790019008
- Entity Type
- Individual
- Last Name
- Johnson
- First Name
- Timothy
- Middle Name
- Micah
- Name Prefix
- Dr.
- Credential
- O.D.
- Mailing Street Address
- 1 Fox Trce
- Mailing City
- Lancaster
- Mailing State
- NY
- Mailing ZIP Code
- 14086-3072
- Mailing Country
- US
- Mailing Phone
- (716) 598-6760
- Mailing Fax
- (716) 393-3839
- Practice Street Address
- 3290 Sheridan Dr
- Practice City
- Amherst
- Practice State
- NY
- Practice ZIP Code
- 14226-1422
- Practice Country
- US
- Practice Phone
- (716) 691-1192
- Practice Fax
- (716) 393-3839
- Enumeration Date
- September 21, 2009
- Last Updated
- December 14, 2018
- Sex
- Male
- Sole Proprietor
- Yes
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Optometrist (152W00000X)