Organization Active NPI

James C Johnson, OD, LLC

  • Optometrist
  • Pottstown, PA
National Provider Identifier
1285928622
Registry record updated Jan 8, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OEG-1758 Issued in PA
Legal business name
JAMES C JOHNSON, OD, LLC
Practice address
1800 E High St
Suite 300
Pottstown, PA 19464-3239
Phone
(610) 705-3937
Fax
(610) 705-3903
NPI assigned
Jun 2, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 8, 2013

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

Authorized official

Name
Dr. James C Johnson, ODNPI 1467474510
Title
President
Phone
(610) 705-3937

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X OEG-1758 PA Primary

Addresses

Primary practice location

1800 E High St
Suite 300
Pottstown, PA 19464-3239

Mailing address

1800 E High St
Suite 300
Pottstown, PA 19464-3239
Phone (610) 705-3937

Other identifiers 2

IdentifierTypeStateIssuer
2229590000OtherPAIBC/KEYSTONE
OEG-1758OtherPASTATE LICENSE

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20110809000491 PA Part B Supplier - Clinic/Group Practice 7517136542 Receives reassigned benefits from 1 practitioner
Practice locations: Pottstown, PA

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1306972800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1357603200000",
    "number": "1285928622",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1800 E HIGH ST",
            "address_2": "SUITE 300",
            "city": "POTTSTOWN",
            "state": "PA",
            "postal_code": "194643239",
            "telephone_number": "610-705-3937",
            "fax_number": "610-705-3903"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1800 E HIGH ST",
            "address_2": "SUITE 300",
            "city": "POTTSTOWN",
            "state": "PA",
            "postal_code": "194643239",
            "telephone_number": "610-705-3937",
            "fax_number": "610-705-3903"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JAMES C JOHNSON, OD, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-06-02",
        "last_updated": "2013-01-08",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "610-705-3937",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "PA",
            "license": "OEG-1758",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "IBC/KEYSTONE",
            "identifier": "2229590000",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "OEG-1758",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Pottstown, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.