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Dale Johnson Od LLC

Vision Therapy Optometrist in Sault Sainte Marie, MI · enumerated 2006 · authorized official Dale Johnson, Manager.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1609828870

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Registry record

Entity type Organization (Type 2)
Legal business name Dale Johnson Od LLC
Practice address 724 Cedar St, Sault Sainte Marie, MI, 49783
Phone (906) 632-2020
Enumeration date May 16, 2006
Last updated in NPPES Jul 29, 2015

Taxonomy & classification

152WV0400X Vision Therapy Optometrist Eye and Vision Services Providers · License 4901002749 (MI) Primary

Authorized official

Name Dale Johnson
Title Manager
Phone (906) 632-2020

Other identifiers

Identifier Type State Issuer
4578107 Medicaid MI -
0P31680 Other - MEDICARE PLUS BLUE
900A710230 Other - BLUE CROSS BLUE SHIELD

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

What is the NPI number for Dale Johnson Od LLC?
The NPI for Dale Johnson Od LLC is 1609828870, a Type 2 (organization) record in the CMS NPPES registry.
Who is the authorized official for Dale Johnson Od LLC?
NPPES lists Dale Johnson (Manager) as the authorized official for this organization.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2015-07-29.