Thomas Norman Johnson, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

01821 Issued in IA

Practice address

125 N 13TH St
Centerville, IA 52544-1705

Phone

(641) 437-4099

Fax

(641) 437-0512

NPI assigned

May 16, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in IA

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

Southern California College of Optometry, 1984

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

International Eyecare Center LLCGroup PAC ID 0244125235, 20 clinicians

Aeg Iowa Professional PCGroup PAC ID 6800325796, 2 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

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.

• Aeg Iowa Professional PC

  • Optometrist
  • Winterset, IA
  • NPI 1700651494
  Medicare reassignment Care Compare group NPD
• International Eyecare Center LLC

  • Optometrist
  • Quincy, IL
  • NPI 1760405047

  IA

  Medicare reassignment Care Compare group NPD
• International Eyecare Center Inc

  • Optometrist
  • Omaha, NE
  • NPI 1386825610
  NPD
• Aeg Iowa Professional PC

  • Optometrist
  • Centerville, IA
  • NPI 1396510038
  NPD (past)

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

{
    "created_epoch": "1147737600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1519257600000",
    "number": "1053363390",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2445 BROADWAY ST",
            "city": "QUINCY",
            "state": "IL",
            "postal_code": "623013257",
            "telephone_number": "217-214-0299",
            "fax_number": "217-641-0028"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "125 N 13TH ST",
            "city": "CENTERVILLE",
            "state": "IA",
            "postal_code": "525441705",
            "telephone_number": "641-437-4099",
            "fax_number": "641-437-0512"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "THOMAS",
        "middle_name": "NORMAN",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-16",
        "last_updated": "2018-02-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "IA",
            "license": "01821",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1053363390",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Infinity Health
• International Eyecare Center Inc
• Mandy Rae Iverson, RN
• Heather L Jeffords, PA-C
• Jen Daake Counseling
• Chelsey Lynn Joiner, CADC
• Sara Beth Juers, PA-C
• Jackson Justus, PHARMD
• Juanita Isal Kahler
• Kirk & Gordy Associates, LLC

• Optometrist in Centerville, IA
• Providers in Centerville, IA by specialty
• Optometrist in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2018; 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.