Active NPI
Trina Johnson, OD
- Optometrist
- Albany, GA
National Provider Identifier
1053732628
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- OPT001361
- Practice address
- 526 W Broad Ave
Albany, GA 31701-2468 - Phone
- (229) 446-9000
- NPI assigned
- Dec 26, 2013
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Optometrist | 152W00000X | OPT001361 | GA | Primary |
Addresses
Primary practice location
526 W Broad Ave
Albany, GA 31701-2468
Mailing address
526 W Broad Ave
Albany, GA 31701-2468
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Organizations & group practices 1
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1388016000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1388016000000",
"number": "1053732628",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "526 W BROAD AVE",
"city": "ALBANY",
"state": "GA",
"postal_code": "317012468"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "526 W BROAD AVE",
"city": "ALBANY",
"state": "GA",
"postal_code": "317012468",
"telephone_number": "229-446-9000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JOHNSON",
"first_name": "TRINA",
"name_prefix": "Dr.",
"credential": "OD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2013-12-26",
"last_updated": "2013-12-26",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "GA",
"license": "OPT001361",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Albany, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 26, 2013; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.