Curtis E Johnson, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

046007835 Issued in IL

Practice address

102 S Charter
Monticello, IL 61856

Phone

(217) 762-2551

Fax

(217) 762-5461

NPI assigned

Jan 12, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IL

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

Specialty

Optometry

Education

Illinois College of Optometry at Chicago, 1985

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Illini Eyecare Monticello Inc

  • Occupational Vision Optometrist
  • Monticello, IL
  • NPI 1568656023
  Medicare reassignment NPD
• Illini Eyecare Inc-Champaign

  • Optometrist
  • Champaign, IL
  • NPI 1447420518
  NPD (past)
• Suneye LLC

  • Optometrist
  • Champaign, IL
  • NPI 1780239038
  NPD (past)

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

{
    "created_epoch": "1168560000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1279843200000",
    "number": "1184774820",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "102 S CHARTER",
            "city": "MONTICELLO",
            "state": "IL",
            "postal_code": "61856",
            "telephone_number": "217-762-2551",
            "fax_number": "217-762-5461"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "102 S CHARTER",
            "city": "MONTICELLO",
            "state": "IL",
            "postal_code": "61856",
            "telephone_number": "217-762-2551",
            "fax_number": "217-762-5461"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "CURTIS",
        "middle_name": "E",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-12",
        "last_updated": "2010-07-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "IL",
            "license": "046007835",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Evelyn Huang, MD
• Mark Raymond Hudson, D.M.D.
• Illini Eyecare Monticello Inc
• David M Jahn, PAC
• John & Mary E Kirby Hospital
• Madelynn Ann Kallembach, ATC
• Lisa F Kamm, RN CRNA LD
• Kirby Medical Center
• Kirby Medical Center
• Kirby Medical Center

• Optometrist in Monticello, IL
• Providers in Monticello, IL by specialty
• Optometrist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2010; 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.