Individual provider Active NPI

Murray H Johnson, O.D., M.S., F.A.A.O.

  • Corneal and Contact Management Optometrist
  • Dallas, TX
National Provider Identifier
1174674626
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Corneal and Contact Management OptometristTaxonomy code 152WC0802X
License
3129TG Issued in TX
Practice address
18111 Preston Rd
Suite 180
Dallas, TX 75252-5470
Phone
(972) 248-0202
Fax
(972) 248-1711
NPI assigned
Jan 12, 2007
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Corneal and Contact Management Optometrist 152WC0802X 3129TG TX Primary

Addresses

Primary practice location

18111 Preston Rd
Suite 180
Dallas, TX 75252-5470

Mailing address

18111 Preston Rd
Suite 180
Dallas, TX 75252-5470
Phone (972) 248-0202

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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 1

Enrollment IDStateProvider typePAC IDDetails
I20120222000327 TX Practitioner - Optometry 3072621820 Practice locations: Dallas, TX

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
University of Houston - College of Optometry, 1981
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

18111 Preston Rd
Suite 180
Dallas, TX 75252-6009
Phone (927) 248-0202

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
3129TGTXMDCorneal and Contact Management Optometrist

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1168560000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1174674626",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18111 PRESTON RD",
            "address_2": "SUITE 180",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752525470",
            "telephone_number": "972-248-0202",
            "fax_number": "972-248-1711"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18111 PRESTON RD",
            "address_2": "SUITE 180",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752525470",
            "telephone_number": "972-248-0202",
            "fax_number": "972-248-1711"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "MURRAY",
        "middle_name": "H",
        "name_prefix": "Dr.",
        "credential": "O.D., M.S., F.A.A.O.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-12",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152WC0802X",
            "taxonomy_group": "",
            "desc": "Optometrist, Corneal and Contact Management",
            "state": "TX",
            "license": "3129TG",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dallas, TX

Sources for this page

Verify at the official NPI Registry.