Organization Active NPI

Vision Care

  • Optometrist
  • Ketchikan, AK
National Provider Identifier
1093694374
Registry record updated Aug 29, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
VISION CARE
Practice address
351 Carlanna Lake Rd
Ketchikan, AK 99901-5614
Phone
(907) 225-2020
NPI assigned
Aug 29, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 29, 2025

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

Authorized official

Name
Dr. Joseph Hyrum Johnson, O.D.NPI 1114418480
Title
Owner
Phone
(505) 785-1926

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X Primary

Addresses

Primary practice location

351 Carlanna Lake Rd
Ketchikan, AK 99901-5614

Mailing address

351 Carlanna Lake Rd
Ketchikan, AK 99901-5614
Phone (907) 225-2020

Other names 1

  • Ketchikan Eye Care Center Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AK

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20251013003255 AK Part B Supplier - Clinic/Group Practice 3375030539 Receives reassigned benefits from 2 practitioners
Practice locations: Ketchikan, AK

National Provider Directory

National Provider Directory

Locations

351 Carlanna Lake Rd
Ketchikan, AK 99901
Phone (907) 225-2020

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1756425600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1756425600000",
    "number": "1093694374",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "351 CARLANNA LAKE RD",
            "city": "KETCHIKAN",
            "state": "AK",
            "postal_code": "999015614",
            "telephone_number": "907-225-2020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "351 CARLANNA LAKE RD",
            "city": "KETCHIKAN",
            "state": "AK",
            "postal_code": "999015614",
            "telephone_number": "907-225-2020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VISION CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-08-29",
        "last_updated": "2025-08-29",
        "certification_date": "2025-08-29",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_middle_name": "HYRUM",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "505-785-1926",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Ketchikan Eye Care Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Ketchikan, AK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.