Mr. Matthew Brant Johnson
Optician Contact Lens Fitter
1 Porter Sq
Cambridge
, Massachusetts 02140-1431
Mr. Matthew Brant Johnson
Optician Contact Lens Fitter
1 Porter Sq
Cambridge
, Massachusetts 02140-1431
(617) 864-3250
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About
Features
Specialties
- Contact Lens Fitter
- Optician
Languages spoken
- English
Location
First Address
- Mr. Matthew Brant Johnson
- 1 Porter Sq
- Cambridge, MA
- Zip : 02140-1431
- Fax : (617) 864-3250
- Phone : (617) 864-7005
Second Address
- Mr. Matthew Brant Johnson
- 1 Porter Sq
- Cambridge, MA
- Zip : 02140-1431
- Fax : (617) 864-3250
- Phone : (617) 864-7005
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 156FC0801X | Contact Lens Fitter | 6429 | MA |
| Y | 156FX1800X | Optician | 6429 | MA |
National Provider Identifier
| NPI | 1144612334 |
|---|---|
| Provider Name | Mr. Matthew Brant Johnson |
| First Address | Cambridge, MA 02140-1431 |
| Second Address | Cambridge, MA 02140-1431 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 24/02/2015 |
| Last Update Date | 24/02/2015 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.