Organization Active NPI

Johnson Optical

  • Eyewear Supplier
  • Lakewood, OH
National Provider Identifier
1679747539
Registry record updated Apr 22, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Eyewear SupplierTaxonomy code 332H00000X
Legal business name
JOHNSON OPTICAL
Practice address
14553 Madison Ave
Lakewood, OH 44107-4325
Phone
(216) 226-8795
Fax
(216) 226-8795
NPI assigned
Apr 22, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 22, 2008

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

Authorized official

Name
Mrs. Joyce A Johnson
Title
Licensed/Dispensing Optician
Phone
(216) 226-8795

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Eyewear Supplier 332H00000X Primary

Addresses

Primary practice location

14553 Madison Ave
Lakewood, OH 44107-4325

Mailing address

14553 Madison Ave
Lakewood, OH 44107-4325
Phone (216) 226-8795

Other identifiers 1

IdentifierTypeStateIssuer
O273118MedicaidOH

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1208822400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208822400000",
    "number": "1679747539",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14553 MADISON AVE",
            "city": "LAKEWOOD",
            "state": "OH",
            "postal_code": "441074325",
            "telephone_number": "216-226-8795",
            "fax_number": "216-226-8795"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14553 MADISON AVE",
            "city": "LAKEWOOD",
            "state": "OH",
            "postal_code": "441074325",
            "telephone_number": "216-226-8795",
            "fax_number": "216-226-8795"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOHNSON OPTICAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-22",
        "last_updated": "2008-04-22",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "JOYCE",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "LICENSED/DISPENSING OPTICIAN",
        "authorized_official_telephone_number": "216-226-8795",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "O273118",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lakewood, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2008; 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.