Active NPI
Adam Louis Johnson, OPTICIAN
- Optician
- Manahawkin, NJ
National Provider Identifier
1023584091
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optician
- Practice address
- 399 N Main St Ste C
Manahawkin, NJ 08050-3069 - Phone
- (732) 674-1899
- NPI assigned
- Oct 17, 2018
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optician | 156FX1800X | Primary |
Addresses
Primary practice location
399 N Main St Ste C
Manahawkin, NJ 08050-3069
Mailing address
10 Inman CT
West Creek, NJ 08092-2845
Phone (732) 674-1899
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1539734400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1539734400000",
"number": "1023584091",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10 INMAN CT",
"city": "WEST CREEK",
"state": "NJ",
"postal_code": "080922845",
"telephone_number": "732-674-1899"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "399 N MAIN ST STE C",
"city": "MANAHAWKIN",
"state": "NJ",
"postal_code": "080503069",
"telephone_number": "732-674-1899"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JOHNSON",
"first_name": "ADAM",
"middle_name": "LOUIS",
"credential": "OPTICIAN",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2018-10-17",
"last_updated": "2018-10-17",
"status": "A"
},
"taxonomies": [
{
"code": "156FX1800X",
"taxonomy_group": "",
"desc": "Technician/Technologist, Optician",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Manahawkin, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.