Cynthia Johnson, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

SD153 Issued in SD

Practice address

11 Shriner St
Vermillion, SD 57069-1155

Phone

(605) 624-2020

NPI assigned

Jun 5, 2006

Last updated

Feb 13, 2008By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in SD

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

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1149465600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1202860800000",
    "number": "1063451276",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11 SHRINER ST",
            "city": "VERMILLION",
            "state": "SD",
            "postal_code": "570691155",
            "telephone_number": "605-624-2020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11 SHRINER ST",
            "city": "VERMILLION",
            "state": "SD",
            "postal_code": "570691155",
            "telephone_number": "605-624-2020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "CYNTHIA",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-05",
        "last_updated": "2008-02-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "SD",
            "license": "SD153",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Hy-Vee Inc (Hy-Vee Pharmacy (1820))
• Moses Nguu Ikiugu, OTR
• Sheila Rae Jacobson, PT
• Phil D Jaquith, PA
• Ashley Johnson, PA-C
• Kylie Johnson, AUD
• Victoria Jo Johnson, OD
• Susan Jane Jopling, MA-CCC/SLP
• Jessica Jordan, DO
• Becca D Jordre, DPT

• Optometrist in Vermillion, SD
• Providers in Vermillion, SD by specialty
• Optometrist in South Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2008; 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.

Verify at the official NPI Registry.