Organization Active NPI

Dr. Melinda Johnson, OD, PLLC

  • Optometrist
  • Waco, TX
National Provider Identifier
1669709945
Registry record updated Nov 8, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
7356T Issued in TX
Legal business name
DR. MELINDA JOHNSON, OD, PLLC
Practice address
6001 W Waco Dr
Suite 610
Waco, TX 76710-6306
Phone
(254) 772-0761
Fax
(254) 772-7590
NPI assigned
Nov 8, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 8, 2009

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

Authorized official

Name
Dr. Melinda Johnson, O.D.
Title
Member
Phone
(254) 772-0761

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X 7356T TX Primary

Addresses

Primary practice location

6001 W Waco Dr
Suite 610
Waco, TX 76710-6306

Mailing address

6001 W Waco Dr
Suite 610
Waco, TX 76710-6306
Phone (254) 772-0761

National Provider Directory

National Provider Directory

Locations

6001 W Waco Dr
Ste 610
Waco, TX 76710
Phone (254) 741-1349

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1257638400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1257638400000",
    "number": "1669709945",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6001 W WACO DR",
            "address_2": "SUITE 610",
            "city": "WACO",
            "state": "TX",
            "postal_code": "767106306",
            "telephone_number": "254-772-0761",
            "fax_number": "254-772-7590"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6001 W WACO DR",
            "address_2": "SUITE 610",
            "city": "WACO",
            "state": "TX",
            "postal_code": "767106306",
            "telephone_number": "254-772-0761",
            "fax_number": "254-772-7590"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR. MELINDA JOHNSON, OD, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-11-08",
        "last_updated": "2009-11-08",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "MELINDA",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "254-772-0761",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "TX",
            "license": "7356T",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Waco, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 2009; 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.