June R. R. Nichols Ocularist, LTD

Primary specialty

OcularistTaxonomy code 156FX1700X

Legal business name

JUNE R. R. NICHOLS OCULARIST, LTD

Practice address

450 St. John Road
Suite 396
Michigan City, IN 46360

Phone

(219) 874-7236

Fax

(847) 803-0806

NPI assigned

May 31, 2012

Organization subpart

No

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

Authorized official

Name

Mr. James P Johnston, BCO BADONPI 1659371094

Title

President/Ceo

Phone

(847) 803-5050

Specialties & licenses 4

Addresses

Other names 1

• Ocularists, Ltd Doing business as

Medicare fee-for-service enrollment

Enrolled in IN

Enrollment records 1

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

• June R. R. Nichols Ocularist, LTD

  • Ocularist
  • Des Plaines, IL
  • NPI 1932207529

  7810013414

  Same PAC ID

Tax ID family

June R R Nichols Bco2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• June R. R. Nichols Ocularist, LTD

  • Ocularist
  • Des Plaines, IL
  • NPI 1932207529
  NPD tax ID

Locations

Practitioners 1

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

• James P Johnston

  • Ocularist
  • Michigan City, IN
  • NPI 1659371094
  NPD Authorized official

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

{
    "created_epoch": "1338422400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1535414400000",
    "number": "1114288644",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1767 E OAKTON ST",
            "city": "DES PLAINES",
            "state": "IL",
            "postal_code": "600182131",
            "telephone_number": "847-803-5050",
            "fax_number": "847-803-0806"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "450 ST. JOHN ROAD",
            "address_2": "SUITE 396",
            "city": "MICHIGAN CITY",
            "state": "IN",
            "postal_code": "46360",
            "telephone_number": "219-874-7236",
            "fax_number": "847-803-0806"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JUNE R. R. NICHOLS OCULARIST, LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-05-31",
        "last_updated": "2018-08-28",
        "status": "A",
        "authorized_official_last_name": "JOHNSTON",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "PRESIDENT/CEO",
        "authorized_official_telephone_number": "847-803-5050",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "BCO BADO"
    },
    "taxonomies": [
        {
            "code": "156FX1700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Technician/Technologist, Ocularist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Ocularists, Ltd",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Mona Johnson
• James P Johnston
• Ryan Johnston, DC
• Gayle M Joll-Tavernier, LSW
• Annabella Juhasz, MD
• Just Breathe Counseling
• Ryan Karver, PHARMD
• Emily Kasarda, MSW, LCSW
• Enoch Kassa, M.D.
• Nasar Katariwala, M.D.

• Technician/Technologist in Michigan City, IN
• Providers in Michigan City, IN by specialty
• Technician/Technologist in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2018; 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.