Judy Joann Johnson, OPTICAN

Primary specialty

OpticianTaxonomy code 156FX1800X

License

156FX1800X Issued in MN

Practice address

7362 University Ave NE
206
Fridley, MN 55432-3142

Phone

(763) 571-5450

Fax

(763) 571-1880

NPI assigned

May 5, 2009

Sex

Female

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": "1241481600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1241481600000",
    "number": "1275767378",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7362 UNIVERSITY AVE NE",
            "address_2": "206",
            "city": "FRIDLEY",
            "state": "MN",
            "postal_code": "554323142",
            "telephone_number": "763-571-5450",
            "fax_number": "763-571-1880"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7362 UNIVERSITY AVE NE",
            "address_2": "206",
            "city": "FRIDLEY",
            "state": "MN",
            "postal_code": "554323142",
            "telephone_number": "763-571-5450",
            "fax_number": "763-571-1880"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "JUDY",
        "middle_name": "JOANN",
        "name_prefix": "Mrs.",
        "credential": "OPTICAN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-05-05",
        "last_updated": "2009-05-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "156FX1800X",
            "taxonomy_group": "",
            "desc": "Technician/Technologist, Optician",
            "state": "MN",
            "license": "156FX1800X",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ann Serbus Johnson, PT
• Daniel Johnson
• Donald Edward Johnson, M.D.
• Frederick W Johnson, MD
• Iris E. Johnson, MA, CCC-A
• Katrina Johnson
• Matthew Michael Johnson, DO
• Megan Johnson, MA, LPCC
• Samantha Julianne Johnson, NP
• William S Johnson

• Optician in Fridley, MN
• Providers in Fridley, MN by specialty
• Optician in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 2009; 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.