Jaime Johnson

Primary specialty

OptometristTaxonomy code 152W00000X

License

14763 Issued in CA

Practice address

30 The Shops at Mission Viejo
Mission Viejo, CA 92691-6527

Phone

(949) 364-4004

NPI assigned

Sep 4, 2013

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in GA, CO, PA, MD, NE5 enrollments

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 5

Specialty

Optometry

Education

University of California - School of Optometry, 2013

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Ellington Eyecare PLLC 5 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Ellington Eyecare PLLC

  • Optometrist
  • Oakland, MD
  • NPI 1508501404

  MD, Optometrist

  Medicare reassignment Care Compare group NPD
• Ellington Eyecare PLLC

  • Optometrist
  • Lewisburg, PA
  • NPI 1659083616
  Medicare reassignment Care Compare group NPD
• Ellington Eyecare PLLC

  • Optometrist
  • Statesboro, GA
  • NPI 1659173755

  GA, Optometrist

  Medicare reassignment Care Compare group NPD
• Ellington Eyecare PLLC

  • Optometrist
  • MC Cook, NE
  • NPI 1861130403

  NE, Optometrist

  Medicare reassignment Care Compare group NPD
• Ellington Eyecare PLLC

  • Optometrist
  • Englewood, CO
  • NPI 1053055210

  CO

  Medicare reassignment Care Compare group
• Ellington Eyecare PLLC

  • Optometrist
  • Homestead, PA
  • NPI 1568174522
  Care Compare group
• Ellington Eyecare PLLC

  • Optometrist
  • Brunswick, GA
  • NPI 1184570921
  NPD
• Ellington Eyecare PLLC

  • Optometrist
  • Denver, CO
  • NPI 1538893284
  NPD
• Ellington Eyecare PLLC

  • Optometrist
  • Westminster, CO
  • NPI 1497429401
  NPD (past)

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

{
    "created_epoch": "1378252800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1705968000000",
    "number": "1679908032",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30 THE SHOPS AT MISSION VIEJO",
            "city": "MISSION VIEJO",
            "state": "CA",
            "postal_code": "926916527",
            "telephone_number": "949-364-4004"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30 THE SHOPS AT MISSION VIEJO",
            "city": "MISSION VIEJO",
            "state": "CA",
            "postal_code": "926916527",
            "telephone_number": "949-364-4004"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "24155 Laguna Hills Mall",
            "address_2": "Suite 900",
            "address_purpose": "LOCATION",
            "city": "Laguna Hills",
            "state": "CA",
            "postal_code": "926533667",
            "country_code": "US",
            "telephone_number": "949-458-1613",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "JAIME",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-09-04",
        "last_updated": "2024-01-23",
        "certification_date": "2024-01-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "14763TLG",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "14763",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• John Witczak, DO, PC
• Cindy John, PH.D.
• Alan Charles Johnson, D.D.S.
• Arthur Johnson III, MD
• Carrie M Johnson, MFT
• Johnathan Johnson
• Joy Johnson
• Julie Diane Johnson
• Ramon Waddell Johnson, M.D.
• Sean Perin Johnson

• All providers in Mission Viejo, CA
• Optometrist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2024; 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.