Douglas Johnson, OD, PA

Primary specialty

OptometristTaxonomy code 152W00000X

License

OPC1753 Issued in FL

Legal business name

DOUGLAS JOHNSON, OD, PA

Practice address

148 13TH St SW
Largo, FL 33770-3127

Phone

(727) 584-5748

Fax

(727) 584-7872

NPI assigned

Apr 8, 2008

Organization subpart

No

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

Authorized official

Name

Ann Owen

Title

Office Manager

Phone

(727) 584-5748

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Douglas Gordon Johnson, O.D.

  • Optometrist
  • Largo, FL
  • NPI 1114925773
  NPD

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

{
    "created_epoch": "1207612800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208390400000",
    "number": "1225201585",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "148 13TH ST SW",
            "city": "LARGO",
            "state": "FL",
            "postal_code": "337703127",
            "telephone_number": "727-584-5748",
            "fax_number": "727-584-7872"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "148 13TH ST SW",
            "city": "LARGO",
            "state": "FL",
            "postal_code": "337703127",
            "telephone_number": "727-584-5748",
            "fax_number": "727-584-7872"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DOUGLAS JOHNSON, OD, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-08",
        "last_updated": "2008-04-17",
        "status": "A",
        "authorized_official_last_name": "OWEN",
        "authorized_official_first_name": "ANN",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "727-584-5748"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "FL",
            "license": "OPC1753",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "078244100",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Nicolas Donoso, PHARMD
• Joseph L Donovan, MD
• James E. Doran, M.D.
• Terri Lynn Dorn, MSN, APRN
• Phyllis Dougherty, ARNP
• Douglas K Pierce MD PA
• Erika Douglass, APRN
• Jacqueline R Dove, OT, CHT
• Amy Beth Doyle, HAS
• Christina Sue Doyle, OTR/L, LPTA

• Optometrist in Largo, FL
• Providers in Largo, FL by specialty
• Optometrist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.