Erika Danielle Johnson, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

1984DT Issued in KY

Practice address

4101 Towne Center Dr
Target Optical
Louisville, KY 40241-4146

Phone

(502) 425-7672

Fax

(502) 425-3973

NPI assigned

Aug 10, 2015

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

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in KY

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

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 and National Provider Directory roles.

• Johnson Family Vision Group, LLC

  dba Johnson Family Vision

  • Optometrist
  • Louisville, KY
  • NPI 1518731009
  NPD Authorized official
• Senior Health Services LLC

  • Ophthalmology Physician
  • Elizabethtown, KY
  • NPI 1528458023
  NPD (past)

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

{
    "created_epoch": "1439164800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1481155200000",
    "number": "1295111433",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11608 SUMMIT CREST DR",
            "address_2": "APT 302",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402298337",
            "telephone_number": "502-598-9671",
            "fax_number": "502-425-3973"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4101 TOWNE CENTER DR",
            "address_2": "TARGET OPTICAL",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402414146",
            "telephone_number": "502-425-7672",
            "fax_number": "502-425-3973"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "ERIKA",
        "middle_name": "DANIELLE",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-08-10",
        "last_updated": "2016-12-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "KY",
            "license": "1984DT",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "1984DT",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Elissa Faith Johnson, FNP-C
• Elizabeth Johnson
• Elizabeth Marie Johnson
• Emily Johnson, M.S., LMFT
• Emily Ann Johnson, APRN
• Erin Johnson, MS, RD, LDN
• Ethan Johnson
• Garnette Johnson
• Hannah L Johnson, RBT
• Hayley Nicole Johnson, MA, BCBA, LBA

• Optometrist in Louisville, KY
• Providers in Louisville, KY by specialty
• Optometrist in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 2016; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.