Jesley Johnson, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

14383 Issued in CA

Practice address

1010 W Fremont Ave
Sunnyvale, CA 94087-3000

Phone

(408) 739-6200

NPI assigned

May 23, 2012

Last updated

Jan 31, 2013By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Enrolled in CA

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

Specialty

Optometry

Education

State University of New York - State College Optometry, 2011

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Mendelson and Mark Optometric CorporationGroup PAC ID 0244607562, 8 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Mendelson & Mark Optometric Corporation

  • Optometrist
  • Sunnyvale, CA
  • NPI 1942960661
  Medicare reassignment Care Compare group NPD
• Amplify Physicians of California PC

  • Ophthalmology Physician
  • Sunnyvale, CA
  • NPI 1659113439
  Medicare reassignment NPD
• Silicon Valley Eye Physicians

  • Ophthalmology Physician
  • Sunnyvale, CA
  • NPI 1154324572
  Medicare reassignment NPD
• Amplify Physicians of California PC

  • Optometrist
  • Los Angeles, CA
  • NPI 1124866959
  NPD

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

{
    "created_epoch": "1337731200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1359590400000",
    "number": "1265792253",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1010 W FREMONT AVE",
            "city": "SUNNYVALE",
            "state": "CA",
            "postal_code": "940873000",
            "telephone_number": "408-739-6200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1010 W FREMONT AVE",
            "city": "SUNNYVALE",
            "state": "CA",
            "postal_code": "940873000",
            "telephone_number": "408-739-6200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "JESLEY",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-05-23",
        "last_updated": "2013-01-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "14383",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• John R Licking DDS Inc
• Tegan E Johnson-Galvez, PHYSICAL THERAPIST
• Diana Peterson Johnson, LCSW
• Ian Michael Johnson, DC
• Jeanene Johnson, RN
• Terra Johnson, DACHM, LAC
• Jon Barclay Luhmann DDS
• Kathleen Ann Jordan, FNP
• Kimberly Jordan
• Joseph Huang,D.D.S., a Professional Dental Corporation

• Optometrist in Sunnyvale, CA
• Providers in Sunnyvale, CA by specialty
• Optometrist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.