NPIMap

Organization Active NPI

Katherine E Johnson, MD PC

Doing business as Mountain View Eye Center

  • Ophthalmology Physician
  • Fairbanks, AK
National Provider Identifier
1508042417
Registry record updated Apr 19, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
6104 Issued in AK
Legal business name
KATHERINE E JOHNSON, MD PC
Doing business as
Mountain View Eye Center
Practice address
2555 Phillips Field Rd
Fairbanks, AK 99709-3933
Phone
(907) 328-2920
NPI assigned
Jan 10, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 19, 2021

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

Authorized official

Name
Dr. Katherine Elizabeth Johnson, MDNPI 1891999272
Title
Physician
Phone
(907) 328-2910

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207W00000X 6104 AK Primary

Addresses

Primary practice location

2555 Phillips Field Rd
Fairbanks, AK 99709-3933

Mailing address

2555 Phillips Field Rd
Fairbanks, AK 99709-3933
Phone (907) 328-2920

Other practice location 1

2485 Chief William Drive
Suite 100
Fairbanks, AK 99709
Phone (907) 328-2910

Other identifiers 3

IdentifierTypeStateIssuer
1021226MedicaidAK
1891999272OtherAKNPI
1508042417OtherGROUP NPI

Other names 1

  • Mountain View Eye Center Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1199923200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1618790400000",
    "number": "1508042417",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2555 PHILLIPS FIELD RD",
            "city": "FAIRBANKS",
            "state": "AK",
            "postal_code": "997093933",
            "telephone_number": "907-328-2920"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2555 PHILLIPS FIELD RD",
            "city": "FAIRBANKS",
            "state": "AK",
            "postal_code": "997093933",
            "telephone_number": "907-328-2920"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2485 Chief William Drive",
            "address_2": "Suite 100",
            "address_purpose": "LOCATION",
            "city": "Fairbanks",
            "state": "AK",
            "postal_code": "99709",
            "country_code": "US",
            "telephone_number": "907-328-2910",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "KATHERINE E JOHNSON, MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-10",
        "last_updated": "2021-04-19",
        "certification_date": "2021-04-19",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "KATHERINE",
        "authorized_official_middle_name": "ELIZABETH",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "907-328-2910",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology",
            "state": "AK",
            "license": "6104",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1021226",
            "state": "AK"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1891999272",
            "state": "AK"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP NPI",
            "identifier": "1508042417",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mountain View Eye Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Fairbanks, AK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 19, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.