Kathleen Ann Johnson, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

TUV007279-01 Issued in NY

Practice address

320 Hempstead Ave
W Hempstead, NY 11552-2043

Phone

(516) 565-2616

Fax

(516) 481-1953

NPI assigned

Jun 27, 2008

Sex

Female

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 NY

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

State University of New York - State College Optometry, 2008

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

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.

• Aj Kew Garden Optical Corp

  • Optometrist
  • Flushing, NY
  • NPI 1295328979

  NY, Optometrist

  Medicare reassignment NPD Authorized official
• Harbor Optics Inc

  • Optometrist
  • Rockaway Park, NY
  • NPI 1245341841

  NY, Optometrist

  Medicare reassignment NPD
• Sightrite Inc

  • Optometrist
  • Brooklyn, NY
  • NPI 1336562644

  NY, Optometrist

  Medicare reassignment NPD
• Corona Optometry, PC

  • Optometrist
  • Corona, NY
  • NPI 1336321728

  NY

  Medicare reassignment
• Corona Optometry PC

  • Optometrist
  • Corona, NY
  • NPI 1760817191
  NPD (past)
• Visiting Eyecare Service, Inc.

  • Optometrist
  • W Hempstead, NY
  • NPI 1720065014
  NPD (past)

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

{
    "created_epoch": "1214524800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1607385600000",
    "number": "1043472327",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "320 HEMPSTEAD AVE",
            "city": "WEST HEMPSTEAD",
            "state": "NY",
            "postal_code": "115522043",
            "telephone_number": "516-565-2616",
            "fax_number": "516-481-1953"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "320 HEMPSTEAD AVE",
            "city": "W HEMPSTEAD",
            "state": "NY",
            "postal_code": "115522043",
            "telephone_number": "516-565-2616",
            "fax_number": "516-481-1953"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "11310 Beach Channel Dr",
            "address_purpose": "LOCATION",
            "city": "Rockaway Park",
            "state": "NY",
            "postal_code": "116942209",
            "country_code": "US",
            "telephone_number": "718-474-1234",
            "fax_number": "718-945-5809",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "KATHLEEN",
        "middle_name": "ANN",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-06-27",
        "last_updated": "2020-12-08",
        "certification_date": "2020-12-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NY",
            "license": "TUV007279-01",
            "primary": true
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NY",
            "license": "TUV007279",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• 135 Woodfield Road Medical Services, PLLC
• CVS Albany LLC
• Olanrewaju Olusola Esan, M.D.
• Kara Foldes
• Richard Mermelstein, MD
• Projeact Outreach
• Gina Marie Pugliese, P.T.
• Rashel Rahmani, DDS
• June Rogers Eliely

• All providers in W Hempstead, NY
• Optometrist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 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.