Organization Active NPI

Johnson & Johnson Doctors of Optometry, PA

Doing business as Drs. Johnsons & Johnson EyeWorks

  • Optometrist
  • Lumberton, NC
National Provider Identifier
1548345689
Registry record updated Mar 19, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
NC1368 Issued in NC
Legal business name
JOHNSON & JOHNSON DOCTORS OF OPTOMETRY, PA
Doing business as
Drs. Johnsons & Johnson EyeWorks
Practice address
2800 N Elm St
Biggs Park Mall
Lumberton, NC 28358-3000
Phone
(910) 738-6464
Fax
(910) 738-4944
NPI assigned
Oct 26, 2006
Last updated
Mar 19, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 19, 2014

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

Authorized official

Name
Ms. Ashley N Johnson
Title
Office Manager
Phone
(910) 738-6464

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X NC1327 NC
Optometrist 152W00000X NC2207 NC
Optometrist 152W00000X NC1368 NC Primary

Addresses

Primary practice location

2800 N Elm St
Biggs Park Mall
Lumberton, NC 28358-3000

Mailing address

2800 N Elm St
Biggs Park Mall
Lumberton, NC 28358-3000
Phone (910) 738-6464

Other identifiers 4

IdentifierTypeStateIssuer
890183YMedicaidNC
890945HMedicaidNC
410033212OtherNCRAIL ROAD MEDICARE
890945YMedicaidNC

Other names 1

  • Drs. Johnsons & Johnson EyeWorks Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20100816000392 NC Part B Supplier - Clinic/Group Practice 5799819561 Receives reassigned benefits from 3 practitioners
Practice locations: Benson, NC; Lumberton, NC
O20100930068821 NC DME Supplier - Physician - Optometrist 5799819561 Practice locations: Lumberton, NC

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

SupplierSuppliesMedicare assignment
Eyeworks Vision Center2800 N Elm St, Lumberton, NC 28358-3000(910) 738-6464 Prosthetic Lenses: Conventional Eyeglasses|Prosthetic Lenses: Conventional Contact Lenses Accepts assignmentParticipating since Jul 1, 1996

National Provider Directory

National Provider Directory

Locations

304 E Main St
Benson, NC 27504
Phone (919) 894-2001

2800 N Elm St
Lumberton, NC 28358
Phone (910) 738-1047

Practitioners & affiliated clinicians

Practitioners 3

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": "1161820800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1395187200000",
    "number": "1548345689",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2800 N ELM ST",
            "address_2": "BIGGS PARK MALL",
            "city": "LUMBERTON",
            "state": "NC",
            "postal_code": "283583000",
            "telephone_number": "910-738-6464",
            "fax_number": "910-738-4944"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2800 N ELM ST",
            "address_2": "BIGGS PARK MALL",
            "city": "LUMBERTON",
            "state": "NC",
            "postal_code": "283583000",
            "telephone_number": "910-738-6464",
            "fax_number": "910-738-4944"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOHNSON & JOHNSON DOCTORS OF OPTOMETRY, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-26",
        "last_updated": "2014-03-19",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "ASHLEY",
        "authorized_official_middle_name": "N",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "910-738-6464",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NC",
            "license": "NC1327",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NC",
            "license": "NC2207",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NC",
            "license": "NC1368",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "890183Y",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "890945H",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAIL ROAD MEDICARE",
            "identifier": "410033212",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "890945Y",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Drs. Johnsons & Johnson EyeWorks",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Lumberton, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.