Brian Paul Johnson, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

ODP-100194 Issued in ID

Practice address

745 W Hill Field Rd
Layton, UT 84041-4602

Phone

(801) 546-4759

Fax

(801) 546-1240

NPI assigned

Dec 21, 2009

Sex

Male

Sole proprietor

Yes

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1261353600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1611532800000",
    "number": "1245569235",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "745 W HILL FIELD RD",
            "city": "LAYTON",
            "state": "UT",
            "postal_code": "840414602",
            "telephone_number": "787-604-7186"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "745 W HILL FIELD RD",
            "city": "LAYTON",
            "state": "UT",
            "postal_code": "840414602",
            "telephone_number": "801-546-4759",
            "fax_number": "801-546-1240"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "BRIAN",
        "middle_name": "PAUL",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-12-21",
        "last_updated": "2021-01-25",
        "certification_date": "2021-01-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "ID",
            "license": "ODP-100194",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kiautumn Johnson Kamidoi
• Amanda Johnson, OTR/L
• Ashley Johnson
• Austin Johnson, RBT
• Brayden James Johnson
• Bryant Lowell Johnson, D.O.
• David Gammell Johnson, D.D.S.
• Evan Flint Johnson, PT, DPT
• Gay Karleen Johnson
• Heather Ratcliffe Johnson, LCSW

• Optometrist in Layton, UT
• Providers in Layton, UT by specialty
• Optometrist in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2021; 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.