Active NPI
Jarrett Ann Johnson, OD,MPH
- Optometrist
- New Orleans, LA
National Provider Identifier
1174540629
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 1128-113T
- Practice address
- 1530 N Broad St
New Orleans, LA 70119-2334 - Phone
- (504) 943-0070
- Fax
- (504) 943-0072
- NPI assigned
- Jul 17, 2006
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 1128-113T | LA | Primary |
Addresses
Primary practice location
1530 N Broad St
New Orleans, LA 70119-2334
Mailing address
1530 N Broad St
New Orleans, LA 70119-2334
Phone (504) 943-0070
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1978957 | Medicaid | LA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in LA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Optometry
- Education
- Southern College of Optometry, 1990
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
1530 N Broad St
New Orleans, LA 70119-2334
Phone (504) 943-0070
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Jarrett Ann Johnson a Professional Optometry Corporation | Optometrist | Current | Accepting new patients |
Locations
4200 Washington Ave
Ste A
New Orleans, LA 70125
Phone (504) 609-3777
1530 N Broad St
New Orleans, LA 70119
Phone (504) 943-0070
Organizations & group practices 1
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.
-
- Optometrist
- New Orleans, LA
- NPI 1700058567
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153094400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1174540629",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1530 N BROAD ST",
"city": "NEW ORLEANS",
"state": "LA",
"postal_code": "701192334",
"telephone_number": "504-943-0070",
"fax_number": "504-943-0072"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1530 N BROAD ST",
"city": "NEW ORLEANS",
"state": "LA",
"postal_code": "701192334",
"telephone_number": "504-943-0070",
"fax_number": "504-943-0072"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JOHNSON",
"first_name": "JARRETT",
"middle_name": "ANN",
"name_prefix": "Dr.",
"credential": "OD,MPH",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-07-17",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "LA",
"license": "1128-113T",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1978957",
"state": "LA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in New Orleans, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.