Stephanie L Johnson, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

3343 Issued in TN

Practice address

1350 Concourse Ave Ste 142
Memphis, TN 38104-2020

Phone

(901) 701-2059

Fax

(901) 259-2432

NPI assigned

Aug 8, 2016

Last updated

Mar 23, 2023By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TN

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Optometry

Education

Southern College of Optometry, 2016

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Southern College of OptometryGroup PAC ID 4587550454, 57 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

93 of 100Reported as group

Quality

86.11

Improvement activities

40

Cost

85.47

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: stephanie.johnson.p1@direct.churchhealthcenter.nextgenshare.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Southern College of Optometry

  • Optometrist
  • Memphis, TN
  • NPI 1851384986
  Medicare reassignment Care Compare group NPD
• Primary Eyecare, PLC

  dba Primary Eye Care of Arlington

  • Optometrist
  • Arlington, TN
  • NPI 1952563744
  Medicare reassignment NPD
• Professional Eyecare Optical, PLLC

  dba Eyewear Gallery

  • Optometrist
  • Memphis, TN
  • NPI 1497946016
  Medicare reassignment NPD
• Professional Eyecare Optical

  dba Eyewear Gallery

  • Durable Medical Equipment & Medical Supplies
  • Memphis, TN
  • NPI 1225238181
  NPD

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

{
    "created_epoch": "1470614400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1679529600000",
    "number": "1659825669",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1350 CONCOURSE AVE STE 142",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381044570",
            "telephone_number": "901-701-2059",
            "fax_number": "901-259-2432"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1350 CONCOURSE AVE STE 142",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381042020",
            "telephone_number": "901-701-2059",
            "fax_number": "901-259-2432"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "428 Perkins Ext",
            "address_purpose": "LOCATION",
            "city": "Memphis",
            "state": "TN",
            "postal_code": "381173808",
            "country_code": "US",
            "telephone_number": "901-763-2020",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "STEPHANIE",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-08-08",
        "last_updated": "2023-03-23",
        "certification_date": "2023-03-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TN",
            "license": "3343",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ruth Ann Johnson, D.PH.
• Shaneka Johnson
• Shannon E Johnson, BA
• Shelby Kristafer Johnson, LPC-MHSP, NCC
• Stacy Alana Johnson, M.D., PH.D.
• Stephen Michael Johnson, MD
• Sydney Swims Johnson
• Symphony Johnson, LICSWA
• Tabatha Johnson
• Tamara Elise Johnson, LMSW

• Optometrist in Memphis, TN
• Providers in Memphis, TN by specialty
• Optometrist in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• 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.