Sarah Maureen Johnson

Primary specialty

Vision Therapy OptometristTaxonomy code 152WV0400X

License

0003533 Issued in CO

Practice address

4251 Kipling St Unit 405
Wheat Ridge, CO 80033-6833

Phone

(303) 932-2030

NPI assigned

Jun 14, 2018

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other names 1

• Sarah Maureen Palmer Former name

Medicare fee-for-service enrollment

Enrolled in CO

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

State University of New York - State College Optometry, 2018

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Boulder Cognitive and Linguistic Center IncGroup PAC ID 5092027409, 21 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

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.

• Boulder Cognitive and Linguistic Center Inc

  • Brain Injury Medicine (Physical Medicine & Rehabilitation) Physician
  • Wheat Ridge, CO
  • NPI 1205215662

  Multi-Specialty

  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1528934400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1667347200000",
    "number": "1386138246",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13700 W 67TH CIR",
            "city": "ARVADA",
            "state": "CO",
            "postal_code": "800042013",
            "telephone_number": "607-425-1208"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4251 KIPLING ST UNIT 405",
            "city": "WHEAT RIDGE",
            "state": "CO",
            "postal_code": "800336833",
            "telephone_number": "303-932-2030"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "SARAH",
        "middle_name": "MAUREEN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-06-14",
        "last_updated": "2022-11-02",
        "certification_date": "2022-11-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152WV0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Optometrist, Vision Therapy",
            "state": "NY",
            "license": "008759",
            "primary": false
        },
        {
            "code": "152WV0400X",
            "taxonomy_group": "",
            "desc": "Optometrist, Vision Therapy",
            "state": "CO",
            "license": "0003533",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SARAH",
            "last_name": "PALMER",
            "middle_name": "MAUREEN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Katherine Mirro Johnson, D.O.
• Luke Bowes Johnson, M.D.
• Marlena Rae Johnson, S.A.
• Matthew R Johnson, PHARMD
• Regina Johnson, MD
• Shelby Johnson, PHARMD
• Taryn Johnson
• Theodore Coatany Johnson, DMD
• Wesley Johnson
• Yvonne Melissa Johnson, B.S.

• Vision Therapy Optometrist in Wheat Ridge, CO
• Providers in Wheat Ridge, CO by specialty
• Vision Therapy Optometrist in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2022; 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.