Karen Nicole Johnson, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

2742 Issued in TN

Practice address

401 E Main St
Henderson Family Eye Care, PLLC
Henderson, TN 38340-2439

Phone

(731) 435-1275

Fax

(731) 435-1276

NPI assigned

Aug 16, 2007

Last updated

Nov 11, 2009By the provider in NPPES

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 2

Medicare fee-for-service enrollment

Enrolled in TN

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

Southern College of Optometry, 2007

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/16990/brand/1/csg/1/fhir/r4
• FHIR API: https://fhir4.healow.com/fhir/r4/HHIJBD

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.

• Henderson Family Eye Care, PLLC

  • Optometrist
  • Henderson, TN
  • NPI 1376943563
  Authorized official Same address or phone
• Main Street Family Medicine Inc

  • Family Medicine Physician
  • Henderson, TN
  • NPI 1538191135
  NPD (past)

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

{
    "created_epoch": "1187222400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1257897600000",
    "number": "1316139017",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "401 E MAIN ST",
            "address_2": "HENDERSON FAMILY EYE CARE, PLLC",
            "city": "HENDERSON",
            "state": "TN",
            "postal_code": "383402439",
            "telephone_number": "731-435-1275",
            "fax_number": "731-435-1276"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 E MAIN ST",
            "address_2": "HENDERSON FAMILY EYE CARE, PLLC",
            "city": "HENDERSON",
            "state": "TN",
            "postal_code": "383402439",
            "telephone_number": "731-435-1275",
            "fax_number": "731-435-1276"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "KAREN",
        "middle_name": "NICOLE",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-08-16",
        "last_updated": "2009-11-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TN",
            "license": "2742",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00411915",
            "state": "TN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3590016",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Integration Partners LLC (Henderson Family Pharmacy)
• Integration Partners LLC (Henderson Family Pharmacy Long Term Care)
• Gary Mitchell Irwin Jr., FNP-C
• Diane G Jeffries, LPC
• Nicole Michelle Jennings, M.D.
• Candice Johnson Jones, D.O.
• Donna Michelle Jones, PTA
• Rebecca Lillian Jones, NP-C
• Alexander Nathan Knoell, D.M.D.
• Sara Kathleen Knoell, DMD

• Optometrist in Henderson, TN
• Providers in Henderson, TN by specialty
• Optometrist in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 11, 2009; 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.