Healthcare Provider Details

I. General information

NPI: 1417144718
Provider Name (Legal Business Name): ERICA D JOHNSON CARDER O.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: ERICA DAWN JOHNSON OD

II. Dates (important events)

Enumeration Date: 10/01/2007
Last Update Date: 07/30/2026
Certification Date: 07/30/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

450 E MICHIGAN AVE
SALINE MI
48176-1684
US

IV. Provider business mailing address

450 E MICHIGAN AVE
SALINE MI
48176-1684
US

V. Phone/Fax

Practice location:
  • Phone: 734-429-9454
  • Fax: 734-293-0910
Mailing address:
  • Phone: 734-429-9454
  • Fax: 734-293-0910

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code152WV0400X
TaxonomyVision Therapy Optometrist
License Number4901004753
License Number StateMI
# 2
Primary TaxonomyN
Taxonomy Code152W00000X
TaxonomyOptometrist
License Number13410TPA
License Number StateCA
# 3
Primary TaxonomyN
Taxonomy Code152WP0200X
TaxonomyPediatric Optometrist
License Number4901004753
License Number StateMI
# 4
Primary TaxonomyY
Taxonomy Code152W00000X
TaxonomyOptometrist
License Number4901004753
License Number StateMI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: