Robert D. Johnson, OD, LLC

Primary specialty

OptometristTaxonomy code 152W00000X

Legal business name

ROBERT D. JOHNSON, OD, LLC

Practice address

237 Calef Hwy
Epping, NH 03042-2369

Phone

(603) 679-1880

NPI assigned

Nov 17, 2020

Last updated

Nov 17, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Robert Johnson, ODNPI 1104822428

Title

Owner/Optometrist

Phone

(603) 490-5050

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in NH

Enrollment records 1

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Robert Johnson, OD

  • Optometrist
  • Burlington, MA
  • NPI 1104822428

  NH

  Medicare reassignment NPD Authorized official
• Terri K Dececca, OPTICIAN

  • Optician
  • Epping, NH
  • NPI 1780857045
  NPD (past)
• Patricia Seay

  • Optician
  • Epping, NH
  • NPI 1922205418
  NPD (past)

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

{
    "created_epoch": "1605571200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1605571200000",
    "number": "1346843943",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18 PILLSBURY PASTURE RD",
            "city": "KINGSTON",
            "state": "NH",
            "postal_code": "038483569"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "237 CALEF HWY",
            "city": "EPPING",
            "state": "NH",
            "postal_code": "030422369",
            "telephone_number": "603-679-1880"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROBERT D. JOHNSON, OD, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-11-17",
        "last_updated": "2020-11-17",
        "certification_date": "2020-11-17",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_title_or_position": "OWNER/OPTOMETRIST",
        "authorized_official_telephone_number": "603-490-5050",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Epping",
            "affiliation": "N",
            "address_1": "237 Calef Hwy",
            "city": "Epping",
            "state": "NH",
            "country_code": "US",
            "postal_code": "030422369",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Zoe Pugliese
• Madison Puglisi
• Michael Richard Ralph, LICSW
• Daniel Riley
• Robert D Groves, O.D. PLLC
• Quira Rodgers, M.S. CCC-SLP
• Tomislav Rogic, DPT, ATC
• Shomous Eltigani Salih, DMD
• Oliver Salmon, DO
• Mary E Sargent, LPN

• Optometrist in Epping, NH
• Providers in Epping, NH by specialty
• Optometrist in New Hampshire

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 2020; 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.