Andrew D. Johnson, O.D., P.C.

Primary specialty

Point of ServiceTaxonomy code 305S00000X

License

NM0544 Issued in NM

Legal business name

ANDREW D. JOHNSON, O.D., P.C.

Practice address

4500 N Main St
Roswell, NM 88201-0305

Phone

(575) 625-2020

Fax

(505) 622-7816

NPI assigned

Apr 12, 2011

Last updated

Apr 12, 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. Andrew Daniel Johnson, O.D.NPI 1801975826

Title

President/Owner

Phone

(575) 625-2020

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NM

Enrollment records 1

Locations

Practitioners 2

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.

• Andrew Daniel Johnson, O.D.

  • Optometrist
  • Las Cruces, NM
  • NPI 1801975826
  Medicare reassignment Care Compare group NPD Authorized official
• Andrew J Zaborowski, OD

  • Optometrist
  • El Paso, TX
  • NPI 1881079002

  NM

  Medicare reassignment Care Compare group

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

{
    "created_epoch": "1302566400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1302566400000",
    "number": "1235429150",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4500 N MAIN ST",
            "city": "ROSWELL",
            "state": "NM",
            "postal_code": "882010305",
            "telephone_number": "575-625-2020",
            "fax_number": "505-622-7816"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4500 N MAIN ST",
            "city": "ROSWELL",
            "state": "NM",
            "postal_code": "882010305",
            "telephone_number": "575-625-2020",
            "fax_number": "505-622-7816"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANDREW D. JOHNSON, O.D., P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-04-12",
        "last_updated": "2011-04-12",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "ANDREW",
        "authorized_official_middle_name": "DANIEL",
        "authorized_official_title_or_position": "PRESIDENT/OWNER",
        "authorized_official_telephone_number": "575-625-2020",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "305S00000X",
            "taxonomy_group": "",
            "desc": "Point of Service",
            "state": "NM",
            "license": "NM0544",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Point of Service in Roswell, NM
• Providers in Roswell, NM by specialty
• Point of Service in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.