Johnson I-Care, LLC

Primary specialty

OptometristTaxonomy code 152W00000X

License

TN2419 Issued in TN

Legal business name

JOHNSON I-CARE, LLC

Practice address

1024 Glenbrook Way
Hendersonville, TN 37075-1230

Phone

(615) 822-8464

Fax

(615) 822-8465

NPI assigned

Jul 12, 2016

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Kevin Lee Johnson, ODNPI 1538215777

Title

Chief Manager

Phone

(615) 497-5512

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in TN

Enrollment records 1

Locations

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Kevin Lee Johnson, O.D.

  • Corneal and Contact Management Optometrist
  • Nashville, TN
  • NPI 1538215777

  TN

  Medicare reassignment Care Compare group NPD Authorized official
• Thomas J. Frye, ).D.

  • Optometrist
  • Madison, TN
  • NPI 1801011382
  Medicare reassignment Care Compare group NPD
• Robert M Bishop, O.D.

  • Optometrist
  • Antioch, TN
  • NPI 1396734463
  NPD (past)
• Carrie Lynn Lehman, O.D.

  • Optometrist
  • Hendersonville, TN
  • NPI 1982933917
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1468281600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1473897600000",
    "number": "1003268236",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1024 GLENBROOK WAY",
            "city": "HENDERSONVILLE",
            "state": "TN",
            "postal_code": "370751230",
            "telephone_number": "615-822-8464",
            "fax_number": "615-822-8465"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1024 GLENBROOK WAY",
            "city": "HENDERSONVILLE",
            "state": "TN",
            "postal_code": "370751230",
            "telephone_number": "615-822-8464",
            "fax_number": "615-822-8465"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOHNSON I-CARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-07-12",
        "last_updated": "2016-09-15",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "KEVIN",
        "authorized_official_middle_name": "LEE",
        "authorized_official_title_or_position": "CHIEF MANAGER",
        "authorized_official_telephone_number": "615-497-5512",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "TN",
            "license": "TN2419",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "Q022814",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jensenlittle
• Jerry E. Sullins, DDS
• David George Jewett, M.D.
• Neenu Jithin
• Promise Joe
• Antionette Johnson
• Camille Johnson
• Dennis Neil Johnson, RPH
• Jeremy Adam Johnson, LMFT
• Kelli Shannon Johnson, O.D.

• All providers in Hendersonville, TN
• Optometrist in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.