Stephanie L Johnson, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

OPC2964 Issued in FL

Practice address

464016 State Road 200
Yulee, FL 32097-6339

Phone

(904) 504-3953

Fax

(904) 261-8330

NPI assigned

May 2, 2007

Last updated

Apr 17, 2025By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Stephanie Johnson Eason Other name

Medicare fee-for-service enrollment

Enrolled in FL

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

University of Alabama School of Dentistry, 1995

Medicare assignment

May accept Medicare assignment

Group practices

River City Vision Center PAGroup PAC ID 8820135353, 4 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• River City Vision Center PA

  • Optometrist
  • Jacksonville, FL
  • NPI 1649504804
  Medicare reassignment Care Compare group NPD
• Dr Stephanie L Johnson, PA

  dba Magnolia Eye Care

  • Optometrist
  • Jacksonville, FL
  • NPI 1740619824
  Medicare reassignment Authorized official
• Caplan Eye Clinic a Professional Medical Corporation

  • Specialist
  • Metairie, LA
  • NPI 1982705075
  NPD (past)

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

{
    "created_epoch": "1178064000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1744848000000",
    "number": "1467673814",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "96166 DOWLING DR",
            "city": "YULEE",
            "state": "FL",
            "postal_code": "320976317",
            "telephone_number": "904-237-7997",
            "fax_number": "904-503-2615"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "464016 STATE ROAD 200",
            "city": "YULEE",
            "state": "FL",
            "postal_code": "320976339",
            "telephone_number": "904-504-3953",
            "fax_number": "904-261-8330"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "STEPHANIE",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-02",
        "last_updated": "2025-04-17",
        "certification_date": "2025-04-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "FL",
            "license": "OPC2964",
            "primary": true
        },
        {
            "code": "152WC0802X",
            "taxonomy_group": "",
            "desc": "Optometrist, Corneal and Contact Management",
            "state": "FL",
            "license": "OPC 2964",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "STEPHANIE",
            "last_name": "EASON",
            "middle_name": "JOHNSON",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Ciara Nicole Weeks Jenkins, SW
• Sarah Dawn Jenkins
• Brenna Grace Johnsen
• Alexandra Baker Johnson, ARNP
• Danielle Renee Johnson, CNA
• Callie S Johnston
• Angella Yamileh Joseph
• Joshua A Kalman, PSY.D.
• La'Quisha Santanna Keels
• Farkhanda Khan, LMHC

• Optometrist in Yulee, FL
• Providers in Yulee, FL by specialty
• Optometrist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 2025; 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.