Sophia Ayako Johnson, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

OPT003326 Issued in GA

Practice address

1250 Scenic Hwy Ste 1700
Lawrenceville, GA 30045-7823

Phone

(678) 381-2020

Fax

(678) 381-2015

NPI assigned

Jun 22, 2021

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in GA

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

Southern College of Optometry, 2021

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

360Care Services of Georgia LLCGroup PAC ID 5991145112, 7 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

84.14 of 100Reported as group

Quality

94

Promoting interoperability

71

Improvement activities

40

Cost

77.3

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.

• 360Care Services of Georgia LLC

  • Optometrist
  • Norcross, GA
  • NPI 1871353599
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1624320000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1654732800000",
    "number": "1205405339",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1300 PEACHTREE INDUSTRIAL BLVD STE 1201",
            "city": "SUWANEE",
            "state": "GA",
            "postal_code": "300244550",
            "telephone_number": "678-381-2020",
            "fax_number": "678-381-2015"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1250 SCENIC HWY STE 1700",
            "city": "LAWRENCEVILLE",
            "state": "GA",
            "postal_code": "300457823",
            "telephone_number": "678-381-2020",
            "fax_number": "678-381-2015"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1689 Nonconnah Blvd",
            "address_purpose": "LOCATION",
            "city": "Memphis",
            "state": "TN",
            "postal_code": "381322105",
            "country_code": "US",
            "telephone_number": "678-386-8263",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "SOPHIA",
        "middle_name": "AYAKO",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-06-22",
        "last_updated": "2022-06-09",
        "certification_date": "2022-06-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "GA",
            "license": "OPT003326",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PROFESSIONAL LICENSE",
            "identifier": "OPT003326",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Pooja Johnson, RBT
• Rubi Johnson
• Shaneva Johnson
• Shanika Johnson
• Sierra Dena Johnson, LMT
• Tenicia Johnson, PHARMD
• Tiombe Johnson
• Trinity Raigh Johnson, PT, DPT
• Xavier Johnson
• Yolanda Oglesby Johnson, MD

• Optometrist in Lawrenceville, GA
• Providers in Lawrenceville, GA by specialty
• Optometrist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2022; 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.