Tammra Roesener Johnson, O.D.

Primary specialty

Pediatric OptometristTaxonomy code 152WP0200X

License

1292 Issued in CO

Practice address

412 Remington St
Fort Collins, CO 80524-2911

Phone

(970) 482-4700

Fax

(970) 482-0966

NPI assigned

May 21, 2007

Last updated

Sep 11, 2025By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 4

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Ensight Skills Center, Inc.

  • Home Health Agency
  • Fort Collins, CO
  • NPI 1528456332
  NPD (past)

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

{
    "created_epoch": "1179705600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757548800000",
    "number": "1144439712",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "412 REMINGTON ST",
            "city": "FORT COLLINS",
            "state": "CO",
            "postal_code": "805242911",
            "telephone_number": "970-482-4700",
            "fax_number": "970-482-0966"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "412 REMINGTON ST",
            "city": "FORT COLLINS",
            "state": "CO",
            "postal_code": "805242911",
            "telephone_number": "970-482-4700",
            "fax_number": "970-482-0966"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "TAMMRA",
        "middle_name": "ROESENER",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-05-21",
        "last_updated": "2025-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CO",
            "license": "1292",
            "primary": false
        },
        {
            "code": "152WC0802X",
            "taxonomy_group": "",
            "desc": "Optometrist, Corneal and Contact Management",
            "state": "CO",
            "license": "1292",
            "primary": false
        },
        {
            "code": "152WP0200X",
            "taxonomy_group": "",
            "desc": "Optometrist, Pediatrics",
            "state": "CO",
            "license": "1292",
            "primary": true
        },
        {
            "code": "152WV0400X",
            "taxonomy_group": "",
            "desc": "Optometrist, Vision Therapy",
            "state": "CO",
            "license": "1292",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Richard C Johnson
• Richard W Johnson, MD
• Robert I Johnson, O.D.
• Shawna Johnson
• Sierra Tyyne Johnson
• Taylor Johnson, PA-C
• Tina Johnson
• Trashonda Johnson, IOMT
• Amanda Johnston, RBT
• Anthony Lee Johnston, RN

• Pediatric Optometrist in Fort Collins, CO
• Providers in Fort Collins, CO by specialty
• Pediatric Optometrist in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; 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.