Johnson Optical Dispensary

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

License

933 Issued in OK

Legal business name

JOHNSON OPTICAL DISPENSARY

Practice address

602 S 3Rd St
McAlester, OK 74501-5822

Phone

(918) 426-5922

Fax

(918) 423-2115

NPI assigned

Aug 10, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Carolyn S Edwards, O.D.NPI 1750339370

Title

Doctor/Owner

Phone

(918) 426-5922

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Oklahoma Eyewear Doing business as

Medicare fee-for-service enrollment

Enrolled in OK2 enrollments

Enrollment records 2

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

Locations

Practitioners 1

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

• Carolyn S Edwards, O.D.

  • Optometrist
  • McAlester, OK
  • NPI 1750339370
  Medicare reassignment Authorized official

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

{
    "created_epoch": "1155168000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1504137600000",
    "number": "1629089594",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "602 S 3RD ST",
            "city": "MCALESTER",
            "state": "OK",
            "postal_code": "745015822",
            "telephone_number": "918-426-5922",
            "fax_number": "918-423-2115"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "602 S 3RD ST",
            "city": "MCALESTER",
            "state": "OK",
            "postal_code": "745015822",
            "telephone_number": "918-426-5922",
            "fax_number": "918-423-2115"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOHNSON OPTICAL DISPENSARY",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-10",
        "last_updated": "2017-08-31",
        "status": "A",
        "authorized_official_last_name": "EDWARDS",
        "authorized_official_first_name": "CAROLYN",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "DOCTOR/OWNER",
        "authorized_official_telephone_number": "918-426-5922",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "OK",
            "license": "933",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TAXONOMY",
            "identifier": "261QM2500X",
            "state": "OK"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100768860B",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Oklahoma Eyewear",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Kylie Jewell
• John Hardy Family Enterprises LLC
• Doris Jean Johns
• Jeff Johns, DPH
• Leann Johns, BHRS
• Angela Harleen Johnson, CM
• Audie Johnson
• Carl Johnson
• Christine Annmarie Johnson, AGNP, APRN-CP
• Jennifer C Johnson, OT

• Durable Medical Equipment & Medical Supplies in McAlester, OK
• Providers in McAlester, OK by specialty
• Durable Medical Equipment & Medical Supplies in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2017; 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.