Steven G. Johnson, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

4901003631 Issued in MI

Practice address

817 W Ganson St
Jackson, MI 49202-4202

Phone

(517) 782-4300

Fax

(517) 782-4708

NPI assigned

Jan 30, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MI

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

Other, 1992

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Aj Johnson OD PCGroup PAC ID 6406257203, 3 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• A.J. Johnson, OD, PC

  • Optometrist
  • Chelsea, MI
  • NPI 1184218141

  MI, Optometrist

  Medicare reassignment Care Compare group NPD
• Jackson Vision LLC

  • Optometrist
  • Jackson, MI
  • NPI 1043349467

  MI, Optometrist

  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1138579200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1366413072",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "488 SKYLINE DR",
            "city": "HORTON",
            "state": "MI",
            "postal_code": "492469756",
            "telephone_number": "517-688-9494"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "817 W GANSON ST",
            "city": "JACKSON",
            "state": "MI",
            "postal_code": "492024202",
            "telephone_number": "517-782-4300",
            "fax_number": "517-782-4708"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "STEVEN",
        "middle_name": "G.",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-30",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MI",
            "license": "4901003631",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michele Johnson, DO
• Rachele Renee Johnson
• Rose Johnson, MD
• Sarah Johnson, BCBA
• Sofia Johnson, MASTERS SOCIAL WORK
• Susan Jean Johnson, LLMSW
• Travis Johnson
• Tonia Johnston, BCBA
• Ashley Ann Jones
• Danielle Jones

• All providers in Jackson, MI
• Optometrist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.