Eric J Johnson II, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

684 Issued in MS

Practice address

1301 20TH Ave
Meridian, MS 39301-4121

Phone

(601) 485-2368

Fax

(601) 693-2174

NPI assigned

Jul 27, 2006

Sex

Male

Sole proprietor

No

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Primary Eyecare & Optical of Meridian, P.a.

  • Optometrist
  • Meridian, MS
  • NPI 1578757076

  MS, Optometrist

  Medicare reassignment Care Compare group NPD
• Mississippi Band of Choctaw Indians

  • General Acute Care Hospital
  • Choctaw, MS
  • NPI 1790865780

  TX

  Medicare reassignment NPD
• Eye Clinic of Meridian PLLC

  • Ophthalmology Physician
  • Meridian, MS
  • NPI 1942285564

  AL

  Medicare reassignment
• Mississippi Band of Choctaw Indians

  • Federal Public Health Clinic/Center
  • Choctaw, MS
  • NPI 1255533758
  NPD
• Mississippi Band of Choctaw Indians

  • Ambulance
  • Choctaw, MS
  • NPI 1548358153
  NPD
• Primary Eyecare South LLC

  • Optometrist
  • Meridian, MS
  • NPI 1386252609
  NPD
• Butler Optical Center,Inc

  • Durable Medical Equipment & Medical Supplies
  • Butler, AL
  • NPI 1356409643
  NPD (past)

Specialty

Optometry

Education

Southern College of Optometry, 2002

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Primary Eyecare and Optical of Meridian, P.a. 3 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare fee-for-service enrollment

Enrolled in AL, MS, TX3 enrollments

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 3

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: eric.johnson.1@20428.direct.athenahealth.com

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on May 19, 2008.

{
    "created_epoch": "1153958400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1211155200000",
    "number": "1154345486",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1551",
            "city": "MERIDIAN",
            "state": "MS",
            "postal_code": "393021551",
            "telephone_number": "601-485-2368",
            "fax_number": "601-693-2174"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1301 20TH AVE",
            "city": "MERIDIAN",
            "state": "MS",
            "postal_code": "393014121",
            "telephone_number": "601-485-2368",
            "fax_number": "601-693-2174"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "ERIC",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "name_suffix": "II",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-27",
        "last_updated": "2008-05-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MS",
            "license": "684",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "410048407",
            "state": "MS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD GROUP ID",
            "identifier": "CH6608",
            "state": "AL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00880212",
            "state": "MS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP NPI",
            "identifier": "1942285564",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00281824",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TAX ID",
            "identifier": "640931945",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "051554358",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE GROUP",
            "identifier": "CH5554",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lee Etta Johnigan, LPN
• Charles Johnson
• Charsity Johnson
• Dermaine Antwan Johnson, CERTIFIED HAIR LOSS
• Diane S Johnson, PMHNP-BC
• Felechia Johnson
• Jennifer L Johnson, CNM
• Jill Johnson
• Lasicillie Johnson
• Mitchell Lamar Johnson

• All providers in Meridian, MS
• Optometrist in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2008; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.