Jeffrey Alan Johnson, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

046.007318 Issued in IL

Practice address

855 Feinberg CT
Ste 110
Cary, IL 60013

Phone

(847) 516-3111

Fax

(847) 516-3133

NPI assigned

Jan 24, 2007

Last updated

Mar 7, 2023By the provider in NPPES

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 IL

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

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Johnson Eye Care Inc

  • Optometrist
  • Cary, IL
  • NPI 1235222340
  Medicare reassignment NPD

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

{
    "created_epoch": "1169596800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1063567808",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "855 FEINBERG CT",
            "address_2": "STE 110",
            "city": "CARY",
            "state": "IL",
            "postal_code": "60013",
            "telephone_number": "847-516-3111",
            "fax_number": "847-516-3133"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "855 FEINBERG CT",
            "address_2": "STE 110",
            "city": "CARY",
            "state": "IL",
            "postal_code": "60013",
            "telephone_number": "847-516-3111",
            "fax_number": "847-516-3133"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "JEFFREY",
        "middle_name": "ALAN",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-24",
        "last_updated": "2023-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "IL",
            "license": "046.007318",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "046007318",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Rosemarie Denise Janowitz, M.A., SLP-CCC
• Tammy Jean Jauch, MA CCC-SLP
• Kayla Jenkinson
• Laura Jensen, L.M.T
• Johnson Eye Care Inc
• Randel Johnson
• Neslie Joy Abando Joya, NP-C
• Paulina Karecka, MS, RDN, LDN
• Ritah Kayingo
• Holly Kelps

• Optometrist in Cary, IL
• Providers in Cary, IL by specialty
• Optometrist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; 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.