Active NPI
Steven Kirk Johnson, O.D.
- Optometrist
- Charlotte, NC
National Provider Identifier
1659363265
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 1084
- Practice address
- 135 S Sharon Amity Rd Ste 100
Charlotte, NC 28211 - Phone
- (704) 365-0555
- Fax
- (704) 367-8120
- NPI assigned
- Aug 19, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 1084 | NC | Primary |
Addresses
Primary practice location
135 S Sharon Amity Rd Ste 100
Charlotte, NC 28211
Mailing address
PO Box 60160
Charlotte, NC 28260-0160
Phone (704) 365-0555
Other practice location 1
185 Joe Knox Ave
Mooresville, NC 28117-9169
Phone (704) 658-2321
Other practice location 2
185 Joe Knox Ave
Mooresville, NC 28117-9169
Phone (704) 658-2321
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Horizon Eye Care PA | Optometrist | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1124409600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1552348800000",
"number": "1659363265",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 60160",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282600160",
"telephone_number": "704-365-0555",
"fax_number": "704-367-8122"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "135 S SHARON AMITY RD STE 100",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "28211",
"telephone_number": "704-365-0555",
"fax_number": "704-367-8120"
}
],
"practiceLocations": [
{
"address_1": "185 Joe Knox Ave",
"address_purpose": "LOCATION",
"city": "Mooresville",
"state": "NC",
"postal_code": "281179169",
"country_code": "US",
"telephone_number": "704-658-2321",
"fax_number": "704-235-1878",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "185 Joe Knox Ave",
"address_purpose": "LOCATION",
"city": "Mooresville",
"state": "NC",
"postal_code": "281179169",
"country_code": "US",
"telephone_number": "704-658-2321",
"fax_number": "704-235-1878",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "JOHNSON",
"first_name": "STEVEN",
"middle_name": "KIRK",
"credential": "O.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-08-19",
"last_updated": "2019-03-12",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "NC",
"license": "1084",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Charlotte, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.