Sevigny & Johnson Eye Care, P.a.

Primary specialty

OptometristTaxonomy code 152W00000X

License

OPC3011 Issued in FL

Legal business name

SEVIGNY & JOHNSON EYE CARE, P.A.

Practice address

210 US 27 N
Avon Park, FL 33825-3073

Phone

(863) 453-3850

Fax

(863) 452-1462

NPI assigned

Nov 12, 2010

Organization subpart

No

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

Authorized official

Name

Mrs. Melissa Johnson

Title

Practice Administrator

Phone

(863) 453-3850

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Terry G Johnson, OD

  • Optometrist
  • Avon Park, FL
  • NPI 1750465845

  FL, Optometrist

  Medicare reassignment NPD
• Mark D Sevigny, O.D.

  • Optometrist
  • Wauchula, FL
  • NPI 1205028461
  NPD (past)
• Clifton N Timmerman, O.D.

  • Optometrist
  • Wauchula, FL
  • NPI 1376538884
  NPD (past)

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

{
    "created_epoch": "1289520000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1363132800000",
    "number": "1497056063",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "210 US 27 N",
            "city": "AVON PARK",
            "state": "FL",
            "postal_code": "338253073",
            "telephone_number": "863-453-3850",
            "fax_number": "863-452-1462"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "210 US 27 N",
            "city": "AVON PARK",
            "state": "FL",
            "postal_code": "338253073",
            "telephone_number": "863-453-3850",
            "fax_number": "863-452-1462"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SEVIGNY & JOHNSON EYE CARE, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-11-12",
        "last_updated": "2013-03-13",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "MELISSA",
        "authorized_official_title_or_position": "PRACTICE ADMINISTRATOR",
        "authorized_official_telephone_number": "863-453-3850",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "FL",
            "license": "OPC3011",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• SCC Group Inc
• Princess Scutt
• Sebring Psych Med Inc
• Taylor Lynn Sebring
• Vladimir Vladimirovich Senatorov Sr., M.D., PH.D.
• Ronald O Sevigny, OD
• Prixit Sharma, M.D.
• Kevin M Sherin, MD MPH
• Shivkrupa Inc
• Stephanie Mallory Sims, COTA

• All providers in Avon Park, FL
• Optometrist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2013; 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.