Active NPI
Robert A Johns, OD., F.A.A.O., INC.
- Optometrist
- Turlock, CA
National Provider Identifier
1306996194
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 4736TPL
- Practice address
- 1001 Colorado Avenue
Turlock, CA 95380-3406 - Phone
- (209) 667-6031
- Fax
- (209) 667-4512
- NPI assigned
- Jan 12, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 4736TPL | CA | Primary |
Addresses
Primary practice location
1001 Colorado Avenue
Turlock, CA 95380-3406
Mailing address
1001 Colorado Avenue
Turlock, CA 95380-3406
Phone (209) 667-6031
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 942362663 | Other | CA | TAX ID # |
| SD0047360 | Medicaid | CA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4736TPL | CA | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Robert a Johns O.D. | Past | Accepting new patients | |
| Plett Optometry Inc | Optometrist | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Eyewear Supplier
- Turlock, CA
- NPI 1417115643
-
- Optometrist
- Turlock, CA
- NPI 1720467251
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1168560000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1678147200000",
"number": "1306996194",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1001 COLORADO AVENUE",
"city": "TURLOCK",
"state": "CA",
"postal_code": "953803406",
"telephone_number": "209-667-6031",
"fax_number": "209-667-4512"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1001 COLORADO AVENUE",
"city": "TURLOCK",
"state": "CA",
"postal_code": "953803406",
"telephone_number": "209-667-6031",
"fax_number": "209-667-4512"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JOHNS",
"first_name": "ROBERT",
"middle_name": "A",
"credential": "OD., F.A.A.O., INC.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-01-12",
"last_updated": "2023-03-07",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "CA",
"license": "4736TPL",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TAX ID #",
"identifier": "942362663",
"state": "CA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "SD0047360",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Turlock, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.