Active NPI
Dr. Melinda Johnson, OD, PLLC
- Optometrist
- Waco, TX
National Provider Identifier
1669709945
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 7356T
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 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 DirectoryLocations
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.
-
- Optometrist
- Fort Worth, TX
- NPI 1366560013
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.