Johnson Optometric Associates PA

Primary specialty

OptometristTaxonomy code 152W00000X

Legal business name

JOHNSON OPTOMETRIC ASSOCIATES PA

Practice address

1340 N Main St
Fuquay Varina, NC 27526-2617

Phone

(919) 552-3181

Fax

(919) 552-0197

NPI assigned

Oct 10, 2006

Last updated

Sep 8, 2023By 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

Dr. Robert L Johnson, ODNPI 1528019486

Title

President

Phone

(919) 552-3181

Specialties & licenses 1

Addresses

Other identifiers 4

Medicare fee-for-service enrollment

Enrolled in NC

Enrollment records 1

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• Johnson Optometric Associates PA

  • Optometrist
  • Garner, NC
  • NPI 1750333126

  O20041102001143

  Same enrollment

Practitioners 8

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.

• Robert L Johnson, OD

  • Optometrist
  • Fuquay Varina, NC
  • NPI 1528019486
  NPD Authorized official
• Cameron Waters Clinard, OD

  • Optometrist
  • Fuquay Varina, NC
  • NPI 1194245712
  NPD
• Jessica Nicole Cummings, OD

  • Optometrist
  • Fuquay Varina, NC
  • NPI 1558241687
  NPD
• Robert S Hammond, OD

  • Optometrist
  • Fuquay Varina, NC
  • NPI 1437100468
  NPD
• Rickey L Hartman, OD

  • Optometrist
  • Fuquay Varina, NC
  • NPI 1144270166
  NPD
• Kevin P Hoye, OD

  • Optometrist
  • Durham, NC
  • NPI 1225011570
  NPD
• Barrett Keith Martin, O.D.

  • Optometrist
  • Fuquay Varina, NC
  • NPI 1366878878
  NPD
• Andrew Richard May, O.D.

  • Optometrist
  • Fuquay Varina, NC
  • NPI 1215260351
  NPD

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

{
    "created_epoch": "1160438400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1694131200000",
    "number": "1457448300",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1340 N MAIN ST",
            "city": "FUQUAY VARINA",
            "state": "NC",
            "postal_code": "275262617",
            "telephone_number": "919-552-3181",
            "fax_number": "919-552-0197"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1340 N MAIN ST",
            "city": "FUQUAY VARINA",
            "state": "NC",
            "postal_code": "275262617",
            "telephone_number": "919-552-3181",
            "fax_number": "919-552-0197"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOHNSON OPTOMETRIC ASSOCIATES PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-10",
        "last_updated": "2023-09-08",
        "certification_date": "2023-09-08",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "919-552-3181",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "C 10278",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "2701064",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8909459",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "09459",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jennifer H. Matthieu, LCSW,PLLC
• Megan Jernigan
• Jessica McConnell DDS
• Rachel Haresh Jhala, OD
• Joe B. Currin, Jr., M.D., P.a.
• Robert L Johnson, OD
• Kayla Suzanne Jones, RBT
• Kim Jones, FNP
• Lara Jones, OTR/L
• Mary McKeel Jones, MD

• Optometrist in Fuquay Varina, NC
• Providers in Fuquay Varina, NC by specialty
• Optometrist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2023; 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.