Individual provider Active NPI

James Charles Johnson, O.D.

  • Optometrist
  • Pottstown, PA
National Provider Identifier
1467474510
Registry record updated Aug 12, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OEG-001758 Issued in PA
Practice address
1100 Heritage Dr Ste 300
Pottstown, PA 19464-9216
Phone
(610) 468-2023
NPI assigned
Jul 24, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 12, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OEG-001758 PA Primary

Addresses

Primary practice location

1100 Heritage Dr Ste 300
Pottstown, PA 19464-9216

Mailing address

1100 Heritage Dr
Pottstown, PA 19464-9216
Phone (610) 468-2023

Other identifiers 2

IdentifierTypeStateIssuer
0048919000OtherPAIBC/KEYSTONE
OEG-1758OtherPASTATE LICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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

Enrollment IDStateProvider typePAC IDDetails
I20041004000481 PA Practitioner - Optometry 0345209664 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
OEG-001758PAMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
James C Johnson, OD, LLC Optometrist CurrentSince Mar 8, 2011 Accepting new patients

Locations

1800 E High St
Ste 300
Pottstown, PA 19464
Phone (610) 326-0453

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1153699200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1754956800000",
    "number": "1467474510",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1100 HERITAGE DR",
            "city": "POTTSTOWN",
            "state": "PA",
            "postal_code": "194649216",
            "telephone_number": "610-468-2023"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1100 HERITAGE DR STE 300",
            "city": "POTTSTOWN",
            "state": "PA",
            "postal_code": "194649216",
            "telephone_number": "610-468-2023"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "JAMES",
        "middle_name": "CHARLES",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-24",
        "last_updated": "2025-08-12",
        "certification_date": "2025-08-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "PA",
            "license": "OEG-001758",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "IBC/KEYSTONE",
            "identifier": "0048919000",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "OEG-1758",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Pottstown, PA

Sources for this page

Verify at the official NPI Registry.