IndividualActive
Alicia Johnson, O.D.
NPI 1396190864 · Optometrist · Roseville, MI
Provider details
- NPI number
- 1396190864
- Entity type
- Individual
- Primary specialty
- OptometristEye and Vision Services Providers
- Credential
- O.D.
- Sex
- Female
- Sole proprietor
- No
- License
- 4901004955 (MI)
Specialties & taxonomies
Eye and Vision Services Providers
Practice location
32443 Gratiot Ave
Roseville, MI 48066-1154
Phone: (586) 415-0245
Approximate (ZIP-level) locationGet directions
Mailing address
23172 Rein Ave
Eastpointe, MI 48021-4102
Registry dates
- Enumerated
- 2016-05-03
- Last updated
- 2016-05-03
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.