Individual provider Active NPI

Emily Maria Johnson, OD

  • Optometrist
  • Wichita, KS
National Provider Identifier
1356571822
Registry record updated Nov 12, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
1839 Issued in KS
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

Updated by the provider on Nov 12, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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 Other name

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

LicenseStateTypeSpecialty
1462NEMDSocial Worker
1839KSMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Eye Associates of Wichita PA Optometrist Past Accepting new patients
Focused Eye Care PastSince Feb 10, 2018 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.

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.

Verify at the official NPI Registry.