Dr. Alicia Marie Johnson, O.D.
Optometrist in Roseville, MI. Individual provider (NPI-1).
NPI number1396190864
StatusActive
Last updated in NPPESMay 3, 2016
Details
- NPI
- 1396190864
- Entity type
- Individual (NPI-1)
- Name
- Dr. Alicia Marie Johnson
- Credential
- O.D.
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- May 3, 2016
- Last updated
- May 3, 2016
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 152W00000X | Optometrist | 4901004955 | MI | Yes |
Other names
- Alicia Marie Kominek (Former Name)
Practice location
32443 Gratiot AveRoseville, MI 48066-1154
Phone 586-415-0245
Mailing address
23172 Rein AveEastpointe, MI 48021-4102
Phone 248-657-3862
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- Saira Nishath Khan, O.D.NPI 1144314675
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All 16 Optometrist providers in Roseville · All 813 providers in Roseville
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