Individual provider Active NPI

Aaron Johnson, OD

  • Optometrist
  • Hesston, KS
National Provider Identifier
1255959433
Registry record updated Jul 14, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
2122 Issued in KS
Practice address
607 E Randall St
Hesston, KS 67062-8814
Phone
(620) 327-2800
Fax
(620) 327-2055
NPI assigned
Jul 14, 2020
Last updated
Jul 14, 2020By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 14, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 2122 KS Primary

Addresses

Primary practice location

607 E Randall St
Hesston, KS 67062-8814

Mailing address

132 S Main St
Hillsboro, KS 67063-1526
Phone (620) 947-5631

Other practice location 1

100 W Kansas Ave Ste 202
McPherson, KS 67460-4755
Phone (620) 241-5810

Other practice location 2

132 S Main St
Hillsboro, KS 67063-1526
Phone (620) 947-5631

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KS
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

Enrollment IDStateProvider typePAC IDDetails
I20200812003574 KS Practitioner - Optometry 4082030754 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Legacy Eyecare IncGroup PAC ID 4789992603, 2 clinicians

Practice addresses (Care Compare)

607 E Randall St
Hesston, KS 67062-8814
Phone (620) 327-2800

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery64

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Legacy Eyecare Inc Optometrist CurrentSince Jul 22, 2020 Accepting new patients

Locations

607 E Randall St
Hesston, KS 67062
Phone (620) 327-2800

132 S Main St
Hillsboro, KS 67063
Phone (620) 647-5631

100 W Kansas Ave
Ste 202
McPherson, KS 67460
Phone (620) 241-5810

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1594684800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1594684800000",
    "number": "1255959433",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "132 S MAIN ST",
            "city": "HILLSBORO",
            "state": "KS",
            "postal_code": "670631526",
            "telephone_number": "620-947-5631",
            "fax_number": "620-947-3511"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "607 E RANDALL ST",
            "city": "HESSTON",
            "state": "KS",
            "postal_code": "670628814",
            "telephone_number": "620-327-2800",
            "fax_number": "620-327-2055"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "100 W Kansas Ave Ste 202",
            "address_purpose": "LOCATION",
            "city": "McPherson",
            "state": "KS",
            "postal_code": "674604755",
            "country_code": "US",
            "telephone_number": "620-241-5810",
            "fax_number": "620-216-8041",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "132 S Main St",
            "address_purpose": "LOCATION",
            "city": "Hillsboro",
            "state": "KS",
            "postal_code": "670631526",
            "country_code": "US",
            "telephone_number": "620-947-5631",
            "fax_number": "620-947-3511",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "AARON",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-07-14",
        "last_updated": "2020-07-14",
        "certification_date": "2020-07-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "KS",
            "license": "2122",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hesston, KS

Sources for this page

Verify at the official NPI Registry.