Michael Johnson, M.D.
Individual provider Active NPI Ophthalmology Physician · Irving, NY
NPI 1427017490 · NPPES record last updated Jul 28, 2026
Key facts
- NPI
- 1427017490
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Ophthalmology Physician 207W00000X
- License
- 192833-1 (NY)
- Practice address
- 275 Thomas Indian School Dr
Irving, NY 14081-9341 - Phone
- (716) 532-5582
- Fax
- (716) 242-6344
- NPI assigned
- Mar 20, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NY
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20110316000015 | NY | Practitioner - Ophthalmology | 4385826163 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 192833-1 | NY | MD | Ophthalmology Physician |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ophthalmology Physician | 207W00000X | 192833-1 | NY | Yes |
Addresses
Primary practice location
275 Thomas Indian School Dr
Irving, NY 14081-9341
Mailing address
987 R C Hoag Dr
Salamanca, NY 14779-1365
Phone (716) 945-5894
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 192833-2 | Other | NY | WORKERS COMPENSATION |
| 005244893 | Other | NY | BLUE CROSS/ SHIELD |
| 0807662 | Other | NY | INDEPENDENT HEALTH ASS. |
| 00020009104 | Other | NY | UNIVERA HEALTH CARE |
| NY 2833 | Other | NY | EYE MED VISION CARE |
Other providers in Irving, NY
- Haley Starr Hiller
- Natalie Anne Hobbs
- Jacqueline Carol Rogers
- Jocelyn Mary Jarosz
- Michelle Ann Jimerson
- Karen Elizabeth Kaminski
- Jacqueline Karstedt
- Heidi Lynne Kazmark
- Jason Christopher Kloc
- Corinne P Krist
All providers in Irving, NY · Ophthalmology Physician in New York
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 28, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.