Aura Optical

Primary specialty

OptometristTaxonomy code 152W00000X

Legal business name

AURA OPTICAL

Practice address

312 E Main St
Johnson City, TN 37601-5733

Phone

(423) 863-1447

NPI assigned

Oct 4, 2023

Last updated

Dec 17, 2024By 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

John Kaudewitz, ODNPI 1427523547

Title

Owner

Phone

(423) 407-3311

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TN

Enrollment records 1

Locations

Practitioners 1

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.

• John Reinhart Kaudewitz, OD

  • Optometrist
  • Johnson City, TN
  • NPI 1427523547
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1696377600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1734393600000",
    "number": "1396525531",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "312 E MAIN ST UNIT 100",
            "city": "JOHNSON CITY",
            "state": "TN",
            "postal_code": "376015733",
            "telephone_number": "423-407-3311",
            "fax_number": "423-707-2299"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "312 E MAIN ST",
            "city": "JOHNSON CITY",
            "state": "TN",
            "postal_code": "376015733",
            "telephone_number": "423-863-1447"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AURA OPTICAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-10-04",
        "last_updated": "2024-12-17",
        "certification_date": "2024-12-17",
        "status": "A",
        "authorized_official_last_name": "KAUDEWITZ",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "423-407-3311",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cameron H Atkison, OTR
• Coby Dale Atwell, NP
• Ahmed Atyia
• Hannah Elizabeth Audia-Webb, NP
• Whitney E Aultman, PHARMD
• Ausome Kidz Therapeutic Services
• Arthur Austin, M.D.
• Douglas F Austin, DPH
• Rebekah Crump Austin, MD
• Daniel McClaskey Auter, D.M.D.

• Optometrist in Johnson City, TN
• Providers in Johnson City, TN by specialty
• Optometrist in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 2024; 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.