Travis M. Johnson, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

3158 Issued in TN

Practice address

140 Joe B Jackson Pkwy
Murfreesboro, TN 37127-7228

Phone

(615) 203-9165

NPI assigned

Dec 6, 2005

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in TN

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Optometry

Education

Pacific University - College of Optometry, 1999

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Networks

• devoted network organization-d5084670-562f-408b-b100-22a1a4ef4d82
• TN PPO C-SNP
• AL HMO D-SNP
• MS PPO D-SNP
• TN PPO
• MS PPO
• devoted network organization-14bfd35d-d818-4696-813b-340339e464ef
• devoted network organization-25ba88d3-d0a6-4213-84f1-eef6f2b59f68
• MS PPO C-SNP
• AL HMO

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Music City Eye Care LLC

  • Optometrist
  • Murfreesboro, TN
  • NPI 1194127225
  Medicare reassignment NPD Authorized official
• Essential Eye Care, PLLC

  • Optometrist
  • Murfreesboro, TN
  • NPI 1144895459
  Medicare reassignment NPD
• Music City Eye Care LLC

  • Optometrist
  • Shelbyville, TN
  • NPI 1841605375
  NPD Authorized official
• Music City Eye Care LLC

  • Optometrist
  • Murfreesboro, TN
  • NPI 1962053363
  NPD Authorized official
• St Croix Vision Center Inc.

  • Optometrist
  • Stillwater, MN
  • NPI 1518059526
  NPD Authorized official
• Advanced Vision Clinic and Optical LLC

  • Optometrist
  • Oakdale, MN
  • NPI 1093888349
  NPD (past)

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

{
    "created_epoch": "1133827200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1659916800000",
    "number": "1003890609",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2125 ROCK SPRINGS MIDLAND RD",
            "city": "CHRISTIANA",
            "state": "TN",
            "postal_code": "370375357",
            "telephone_number": "651-230-3554"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "140 JOE B JACKSON PKWY",
            "city": "MURFREESBORO",
            "state": "TN",
            "postal_code": "371277228",
            "telephone_number": "615-203-9165"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "TRAVIS",
        "middle_name": "M.",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-12-06",
        "last_updated": "2022-08-08",
        "certification_date": "2022-08-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MN",
            "license": "2763",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TN",
            "license": "3158",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Richard W Johnson, MD
• Ron Lanier Johnson, M.D.
• Sarah Johnson
• Shannon Johnson
• Summer Johnson
• Warren T. Johnson, D.D.S.,P.C.
• Lorie Johnston
• Susan Elaine Johnston, M.D.
• Anita F. Joiner, RN
• Jolie Medical Supply Inc

• Optometrist in Murfreesboro, TN
• Providers in Murfreesboro, TN by specialty
• Optometrist in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.