Wesley D. Johnson, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

1308 Issued in KS

Practice address

6575 W 119TH St
Overland Park, KS 66209-2001

Phone

(913) 696-0092

Fax

(913) 696-0095

NPI assigned

Dec 13, 2006

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in MO, KS2 enrollments

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 2

Specialty

Optometry

Education

Indiana University - School of Optometry, 1989

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Wes Johnson OD PAGroup PAC ID 8426214180, 2 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Wes Johnson OD PA

  dba Professional EyeCare Fountains

  • Optometrist
  • Overland Park, KS
  • NPI 1154687291
  Medicare reassignment Care Compare group NPD
• Zona Rosa Eyecare Inc

  dba Professional EyeCare Zona Rosa

  • Optometrist
  • Kansas City, MO
  • NPI 1063778108
  Medicare reassignment NPD
• Professional Eyecare - Fountains Inc

  • Optometrist
  • Overland Park, KS
  • NPI 1518019199
  NPD
• Professional Eyecare - Bannister

  • Optometrist
  • Kansas City, MO
  • NPI 1245382829
  NPD (past)
• Professional Eyecare Metro North Inc

  • Optometrist
  • Kansas City, MO
  • NPI 1568513836
  NPD (past)
• Professional Eyecare Zona Rosa Inc.

  • Optometrist
  • Kansas City, MO
  • NPI 1336291913
  NPD (past)

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

{
    "created_epoch": "1165968000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1427119064",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6575 W 119TH ST",
            "city": "OVERLAND PARK",
            "state": "KS",
            "postal_code": "662092001",
            "telephone_number": "913-696-0092",
            "fax_number": "913-696-0095"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6575 W 119TH ST",
            "city": "OVERLAND PARK",
            "state": "KS",
            "postal_code": "662092001",
            "telephone_number": "913-696-0092",
            "fax_number": "913-696-0095"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "WESLEY",
        "middle_name": "D.",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-12-13",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "KS",
            "license": "1308",
            "primary": true
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MO",
            "license": "TO2880",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Robyn Joya Johnson, LMSW
• Sarah Johnson
• Sarah Kathleen Johnson, ATC
• Trevor Dillon Johnson
• Vina Johnson, LCPC, RPT-S
• Yasmine Johnson
• Bridgette Johnston, DPT
• Joseph Johnston, DC
• McLain Johnston
• Tyler Johnston

• Optometrist in Overland Park, KS
• Providers in Overland Park, KS by specialty
• Optometrist in Kansas

• 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.