Dr. Jay D. Johnson, Optometrist, PLC

Primary specialty

OptometristTaxonomy code 152W00000X

License

1085 Issued in OK

Legal business name

DR. JAY D. JOHNSON, OPTOMETRIST, PLC

Doing business as

Johnson Vision Associates

Practice address

1120 Rambling Oaks Drive
Norman, OK 73072

Phone

(405) 701-4114

Fax

(405) 801-3689

NPI assigned

Apr 13, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Jay D. Johnson, O.D.

Title

Owner

Phone

(405) 701-4114

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• Johnson Vision Associates Doing business as

Locations

Practitioners 2

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

• Kirk Patrick Brownlee, O.D.

  • Optometrist
  • Piedmont, OK
  • NPI 1912076811
  NPD (past)
• Randal D Jentzen, OD

  • Optometrist
  • Amarillo, TX
  • NPI 1417981358
  NPD (past)

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

{
    "created_epoch": "1176422400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1477872000000",
    "number": "1346464955",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1120 RAMBLING OAKS DRIVE",
            "city": "NORMAN",
            "state": "OK",
            "postal_code": "73072",
            "telephone_number": "405-701-4114",
            "fax_number": "405-801-3689"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1120 RAMBLING OAKS DRIVE",
            "city": "NORMAN",
            "state": "OK",
            "postal_code": "73072",
            "telephone_number": "405-701-4114",
            "fax_number": "405-801-3689"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR. JAY D. JOHNSON, OPTOMETRIST, PLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-13",
        "last_updated": "2016-10-31",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "JAY",
        "authorized_official_middle_name": "D.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "405-701-4114",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Optometrist",
            "state": "OK",
            "license": "1085",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200083870B",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Johnson Vision Associates",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Optometrist in Norman, OK
• Providers in Norman, OK by specialty
• Optometrist in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2016; 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.