Rmo Eyecare

Primary specialty

OptometristTaxonomy code 152W00000X

Legal business name

RMO EYECARE

Practice address

2756 S Broadway Ave
Tyler, TX 75701-5412

Phone

(903) 593-2345

Fax

(903) 593-4646

NPI assigned

Jul 6, 2020

Organization subpart

No

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

Authorized official

Name

Dr. David M Johnson, ODNPI 1023260569

Title

Optometrist

Phone

(903) 593-2345

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• RMO Eyecare LLC Other name

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Locations

Practitioners 1

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

• David Michael Johnson, O.D.

  • Optometrist
  • Tyler, TX
  • NPI 1023260569
  Medicare reassignment Authorized official

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

{
    "created_epoch": "1593993600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1678147200000",
    "number": "1174140297",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2756 S BROADWAY AVE",
            "city": "TYLER",
            "state": "TX",
            "postal_code": "757015412",
            "telephone_number": "903-593-2345",
            "fax_number": "903-593-4646"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2756 S BROADWAY AVE",
            "city": "TYLER",
            "state": "TX",
            "postal_code": "757015412",
            "telephone_number": "903-593-2345",
            "fax_number": "903-593-4646"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RMO EYECARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-07-06",
        "last_updated": "2023-03-07",
        "certification_date": "2020-07-06",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OPTOMETRIST",
        "authorized_official_telephone_number": "903-593-2345",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TEXAS OPTOMETRY BOARD",
            "identifier": "7283TG",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "RMO Eyecare LLC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Sheila Rivera
• Roger Rivers
• Ghousia Rizvi, M.D.
• Erin Nicole Rizzo, MD
• RL Roberts Ms LLC
• Rmo Eyecare, LLC
• RN First Assist of Tyler
• Alexandra F Roach, PHARM D.
• Lameshia Roach
• Michael Dean Roach

• Optometrist in Tyler, TX
• Providers in Tyler, TX by specialty
• Optometrist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; 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.