Eric Johnson, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

OPT002645 Issued in GA

Practice address

1080 Vend Dr Ste 100
Watkinsville, GA 30677-7751

Phone

(706) 549-7047

Fax

(706) 613-5395

NPI assigned

Jun 21, 2011

Last updated

Sep 10, 2014By 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 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NC

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

New England College of Optometry, 2011

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Family Eye Center OD PAGroup PAC ID 3476608498, 3 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.

• Family Eye Center OD PA

  • Optometrist
  • Henderson, NC
  • NPI 1457432577
  Medicare reassignment Care Compare group NPD
• Family Eye Center

  • Eyewear Supplier
  • Warrenton, NC
  • NPI 1053554147
  NPD (past)

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

{
    "created_epoch": "1308614400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1410307200000",
    "number": "1467748228",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1080 VEND DR STE 100",
            "city": "WATKINSVILLE",
            "state": "GA",
            "postal_code": "306777751",
            "telephone_number": "706-549-7047",
            "fax_number": "706-613-5395"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1080 VEND DR STE 100",
            "city": "WATKINSVILLE",
            "state": "GA",
            "postal_code": "306777751",
            "telephone_number": "706-549-7047",
            "fax_number": "706-613-5395"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "ERIC",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-06-21",
        "last_updated": "2014-09-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "GA",
            "license": "OPT002645",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• John T. Hansford DMD P.C.
• Serena Johns, RBT
• Traci Johns, NP
• Claudette Angella Johnson
• Crystal Janay Johnson
• Holly R Johnson, LCSW
• Kiara Johnson, RBT
• Michael Johnson, PT
• Nedra D Johnson, NP
• Princess Johnson, RBT

• Optometrist in Watkinsville, GA
• Providers in Watkinsville, GA by specialty
• Optometrist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2014; 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.