Ann M Johannsen, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

7500T Issued in CA

Practice address

695 W Foothill Blvd
Claremont, CA 91711-3490

Phone

(909) 625-7861

Fax

(909) 621-0742

NPI assigned

Jan 12, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 4

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1168560000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1412553600000",
    "number": "1114078771",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "695 W FOOTHILL BLVD",
            "city": "CLAREMONT",
            "state": "CA",
            "postal_code": "917113490",
            "telephone_number": "909-625-7861",
            "fax_number": "909-621-0742"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "695 W FOOTHILL BLVD",
            "city": "CLAREMONT",
            "state": "CA",
            "postal_code": "917113490",
            "telephone_number": "909-625-7861",
            "fax_number": "909-621-0742"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHANNSEN",
        "first_name": "ANN",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-12",
        "last_updated": "2014-10-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152WC0802X",
            "taxonomy_group": "",
            "desc": "Optometrist, Corneal and Contact Management",
            "state": "CA",
            "license": "7500T",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "WOP7500TPG",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "7500T",
            "primary": true
        },
        {
            "code": "152WP0200X",
            "taxonomy_group": "",
            "desc": "Optometrist, Pediatrics",
            "state": "CA",
            "license": "7500T",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "WOP7500A",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jennifer R. Boozer, D.O., Inc.
• Jennifer Sun, MD Inc.
• Gabriela L Jerez, LMFT
• Hua Jiang, MD
• Melanie Nicole Jimenez, PMHNP-BC
• John H. Mertens, D.D.S., Apc
• Carl A Johnson
• Stanley Price Johnston, ATC
• Mikaela Lugene Jolly, CF-SLP
• Karyn Michelle Jones, M.A., LMFT

• Optometrist in Claremont, CA
• Providers in Claremont, CA by specialty
• Optometrist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.