Jim a. Johnson, O.D., P.a.

Primary specialty

OptometristTaxonomy code 152W00000X

License

1354-3 Issued in KS

Legal business name

JIM A. JOHNSON, O.D., P.A.

Practice address

1820 S Ohio St
Salina, KS 67401-6607

Phone

(785) 827-1010

NPI assigned

Mar 27, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Jim A. Johnson, O.D.

Title

President

Phone

(785) 827-1010

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

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

{
    "created_epoch": "1174953600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1195171200000",
    "number": "1598883423",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1820 S OHIO ST",
            "city": "SALINA",
            "state": "KS",
            "postal_code": "674016607",
            "telephone_number": "785-827-1010"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1820 S OHIO ST",
            "city": "SALINA",
            "state": "KS",
            "postal_code": "674016607",
            "telephone_number": "785-827-1010"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JIM A. JOHNSON, O.D., P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-27",
        "last_updated": "2007-11-16",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "JIM",
        "authorized_official_middle_name": "A.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "785-827-1010",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Optometrist",
            "state": "KS",
            "license": "1354-3",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "KANSAS LICENSE OPTOMETRY",
            "identifier": "1354-3",
            "state": "KS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUESHIELD KS",
            "identifier": "0000651148",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Optometrist in Salina, KS
• Providers in Salina, KS by specialty
• Optometrist in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 2007; 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.