Dr KEVIN D JOHNSON is a male medical professional, specializing in Ophthalmology. He graduated in 1989 from Wayne State University School Of Medicine.
BLUE WATER EYE CARE ASSOCIATES, P.C.
2609 ELECTRIC AVE A
PORT HURON
MI
480606589
Tel: 8109821300
| Npi | 1184721599 |
| Pac Id | 8123182177 |
| Professional Enrollment Id | I20090205000602 |
| Last Name | JOHNSON |
| First Name | KEVIN |
| Middle Name | D |
| Suffix | |
| Gender | M |
| Credential | |
| Medical School Name | WAYNE STATE UNIVERSITY SCHOOL OF MEDICINE |
| Graduation Year | 1989 |
| Primary Specialty | OPHTHALMOLOGY |
| Secondary Specialty 1 | |
| Secondary Specialty 2 | |
| Secondary Specialty 3 | |
| Secondary Specialty 4 | |
| All Secondary Specialties | |
| Organization Legal Name | BLUE WATER EYE CARE ASSOCIATES, P.C. |
| Group Practice Pac Id | 5496819435 |
| Number Of Group Practice Members | 2 |
| Line 1 Street Address | 2609 ELECTRIC AVE A |
| Line 2 Street Address | |
| Marker Of Address Line 2 Suppression | |
| City | PORT HURON |
| State | MI |
| Zip Code | 480606589 |
| Phone Number | 8109821300 |
| Hospital Affiliation Ccn 1 | 230031 |
| Hospital Affiliation Lbn 1 | LAKE HURON MEDICAL CENTER |
| Hospital Affiliation Ccn 2 | 230216 |
| Hospital Affiliation Lbn 2 | MCLAREN PORT HURON |
| Hospital Affiliation Ccn 3 | |
| Hospital Affiliation Lbn 3 | |
| Hospital Affiliation Ccn 4 | |
| Hospital Affiliation Lbn 4 | |
| Hospital Affiliation Ccn 5 | |
| Hospital Affiliation Lbn 5 | |
| Professional Accepts Medicare Assignment | Y |
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