Max Snitker Johnson, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

267 Issued in NM

Practice address

106 N Delaware Ave
Roswell, NM 88203-3042

Phone

(575) 624-0235

Fax

(575) 624-0236

NPI assigned

Nov 18, 2005

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Practice roles

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.

• Eye Site LLC

  • Optometrist
  • Artesia, NM
  • NPI 1992872378
  NPD (past)
• Eye Site PA

  • Optometrist
  • Hobbs, NM
  • NPI 1366522344
  NPD (past)

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

{
    "created_epoch": "1132272000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1337558400000",
    "number": "1699757039",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "106 N DELAWARE AVE",
            "city": "ROSWELL",
            "state": "NM",
            "postal_code": "882033042",
            "telephone_number": "575-624-0235",
            "fax_number": "575-624-0236"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "106 N DELAWARE AVE",
            "city": "ROSWELL",
            "state": "NM",
            "postal_code": "882033042",
            "telephone_number": "575-624-0235",
            "fax_number": "575-624-0236"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "MAX",
        "middle_name": "SNITKER",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-11-18",
        "last_updated": "2012-05-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NM",
            "license": "267",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "P0458",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Julie Jimenez
• John C. Henry, M.D., P.a.
• Caren Sue Johnson, RN
• Heather Marie Johnson, LMHC-T
• Kathleen M. Johnson, M.S. CCC-SLP
• Stephanie Johnson, HAD
• Steven Craig Johnson, LMSW
• Makayla Kristen Jolly
• Julia I Jones, CNP
• Linda Y Jones, CNP

• Optometrist in Roswell, NM
• Providers in Roswell, NM by specialty
• Optometrist in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2012; 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.