Active NPI
Emily Maria Johnson, OD
- Optometrist
- Wichita, KS
National Provider Identifier
1356571822
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 1839
- Practice address
- 940 S Saint Francis St
Wichita, KS 67211-2335 - Phone
- (316) 264-6464
- NPI assigned
- Jul 19, 2009
- Sex
- Female
- 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 | 1839 | KS | Primary |
Addresses
Primary practice location
940 S Saint Francis St
Wichita, KS 67211-2335
Mailing address
940 S Saint Francis St
Wichita, KS 67211-2335
Other practice location 1
501 E Pawnee St
Wichita, KS 67211-4944
Phone (316) 239-1009
Other names 1
- Dr. Emily Maria Fernandez Johnson
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 |
|---|---|---|---|
| 1462 | NE | MD | Social Worker |
| 1839 | KS | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Eye Associates of Wichita PA | Optometrist | Past | Accepting new patients |
| Focused Eye Care | 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.
-
- Optometrist
- Wichita, KS
- NPI 1649355975
-
- Durable Medical Equipment & Medical Supplies
- Omaha, NE
- NPI 1215010293
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1247961600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1668211200000",
"number": "1356571822",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "940 S SAINT FRANCIS ST",
"city": "WICHITA",
"state": "KS",
"postal_code": "672112335"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "940 S SAINT FRANCIS ST",
"city": "WICHITA",
"state": "KS",
"postal_code": "672112335",
"telephone_number": "316-264-6464"
}
],
"practiceLocations": [
{
"address_1": "501 E Pawnee St",
"address_purpose": "LOCATION",
"city": "Wichita",
"state": "KS",
"postal_code": "672114944",
"country_code": "US",
"telephone_number": "316-239-1009",
"fax_number": "316-462-9706",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "JOHNSON",
"first_name": "EMILY",
"middle_name": "MARIA",
"name_prefix": "Dr.",
"credential": "OD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-07-19",
"last_updated": "2022-11-12",
"certification_date": "2022-11-12",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "KS",
"license": "1839",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "EMILY",
"last_name": "FERNANDEZ JOHNSON",
"middle_name": "MARIA",
"prefix": "DR.",
"credential": "OD",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Wichita, KS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.