Scott Johnson Visioncare, P.a.

Primary specialty

OptometristTaxonomy code 152W00000X

License

2479 Issued in AR

Legal business name

SCOTT JOHNSON VISIONCARE, P.A.

Practice address

1005 N 6TH St
Blytheville, AR 72315-1707

Phone

(870) 763-0760

Fax

(870) 838-1051

NPI assigned

Sep 13, 2007

Last updated

Dec 1, 2011By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Scott E Johnson, O.D.NPI 1689640310

Title

Optometrist

Phone

(870) 763-0760

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in AR2 enrollments

Enrollment records 2

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Scott E Johnson, O.D.

  • Optometrist
  • Blytheville, AR
  • NPI 1689640310
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1189641600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1322697600000",
    "number": "1194910950",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1649",
            "city": "BLYTHEVILLE",
            "state": "AR",
            "postal_code": "723161649",
            "telephone_number": "870-763-0760",
            "fax_number": "870-838-1051"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1005 N 6TH ST",
            "city": "BLYTHEVILLE",
            "state": "AR",
            "postal_code": "723151707",
            "telephone_number": "870-763-0760",
            "fax_number": "870-838-1051"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SCOTT JOHNSON VISIONCARE, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-13",
        "last_updated": "2011-12-01",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "SCOTT",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "OPTOMETRIST",
        "authorized_official_telephone_number": "870-763-0760",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "AR",
            "license": "2479",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "134831722",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sommer Rucker, RN
• James Davis Russell, MD
• Saline Womens Group (Blytheville Women's Group)
• Abril Alejandro Sanchez-Marado
• Scott Husted MD PA
• Linda F. Shempert, CIS, MHPP
• James Anthony Sheridan, PHARMD
• Kristina Rene Shotwell, MHPP
• Donna Silvia, AA
• Haley Sims, PLMSW

• Optometrist in Blytheville, AR
• Providers in Blytheville, AR by specialty
• Optometrist in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.