Dr Mary Johnson LLC

Primary specialty

OptometristTaxonomy code 152W00000X

Legal business name

DR MARY JOHNSON LLC

Practice address

3827 Marketplace Dr NW
Rochester, MN 55901-3192

Phone

(507) 536-3950

NPI assigned

Jul 1, 2021

Organization subpart

No

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

Authorized official

Name

Mary JohnsonNPI 1578634937

Title

Optometrist

Phone

(507) 261-1236

Specialties & licenses 1

Addresses

Other names 1

• Dr Mary Johnson Doing business as

Electronic endpoints 1

Practitioners 1

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

• Mary Catherine Johnson, O.D.

  • Corneal and Contact Management Optometrist
  • Rochester, MN
  • NPI 1578634937
  NPD Authorized official

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

{
    "created_epoch": "1625097600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1625097600000",
    "number": "1245800143",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "303 12TH LN SW",
            "city": "ORONOCO",
            "state": "MN",
            "postal_code": "559601703",
            "telephone_number": "507-261-1236"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3827 MARKETPLACE DR NW",
            "city": "ROCHESTER",
            "state": "MN",
            "postal_code": "559013192",
            "telephone_number": "507-536-3950"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR MARY JOHNSON LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-07-01",
        "last_updated": "2021-07-01",
        "certification_date": "2021-07-01",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "MARY",
        "authorized_official_title_or_position": "OPTOMETRIST",
        "authorized_official_telephone_number": "507-261-1236"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "(507)536-3974",
            "affiliation": "N",
            "endpointDescription": "office",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "email",
            "address_1": "3827 Marketplace Dr NW",
            "city": "Rochester",
            "state": "MN",
            "country_code": "US",
            "postal_code": "559013192",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Dr Mary Johnson",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Optometrist in Rochester, MN
• Providers in Rochester, MN by specialty
• Optometrist in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 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.