David Michael Johnson, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

7283TG Issued in TX

Practice address

2756 S Broadway Ave
Tyler, TX 75701-5412

Phone

(903) 593-2345

Fax

(903) 593-4646

NPI assigned

Oct 15, 2008

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in TX

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

University of Houston - College of Optometry, 2008

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Rmo Eyecare

  • Optometrist
  • Tyler, TX
  • NPI 1174140297
  Medicare reassignment Authorized official
• Rmo Eyecare, LLC

  • Optometrist
  • Tyler, TX
  • NPI 1821614033
  NPD Authorized official

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

{
    "created_epoch": "1224028800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1593475200000",
    "number": "1023260569",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2756 S BROADWAY AVE",
            "city": "TYLER",
            "state": "TX",
            "postal_code": "757015412",
            "telephone_number": "903-593-2345",
            "fax_number": "903-593-4646"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2756 S BROADWAY AVE",
            "city": "TYLER",
            "state": "TX",
            "postal_code": "757015412",
            "telephone_number": "903-593-2345",
            "fax_number": "903-593-4646"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "DAVID",
        "middle_name": "MICHAEL",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-10-15",
        "last_updated": "2020-06-30",
        "certification_date": "2020-06-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TX",
            "license": "7283TG",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "215445201",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TEXAS OPTOMETRY BOARD",
            "identifier": "7283TG",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Carolyn Johnson, MSN, APRN, FNP-C
• Chavaletta Johnson
• Christopher Harrell Johnson
• Courtney Johnson
• Crystal Duane Johnson, M.S.
• Denetrius Johnson
• Dennis Keith Johnson, DDS
• Gregor Johnson
• Guerda Johnson, NP
• Janet Johnson

• Optometrist in Tyler, TX
• Providers in Tyler, TX by specialty
• Optometrist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2020; 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.