Stephanie Johnson OD, P.C.

Primary specialty

OptometristTaxonomy code 152W00000X

License

728 Issued in NV

Practice address

4448 S Eastern Ave
Las Vegas, NV 89119-7825

Phone

(702) 893-3937

NPI assigned

Jul 25, 2012

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NV

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 1

Medicare enrollment (NPD)

Enrolled

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.

• Roger Paez O.D. Chartered

  • Optometrist
  • Las Vegas, NV
  • NPI 1306034855
  Medicare reassignment NPD
• Eyediology Vision Care Burke PLLC

  dba Eyediology Vision Care

  • Optometrist
  • Las Vegas, NV
  • NPI 1497341705
  NPD
• Wonchon Lin, M.D., PLLC

  dba Westwood Eye

  • Ophthalmology Physician
  • Las Vegas, NV
  • NPI 1902443542
  NPD (past)

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

{
    "created_epoch": "1343174400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1345766400000",
    "number": "1720334832",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4448 S EASTERN AVE",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891197825",
            "telephone_number": "702-893-3937"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4448 S EASTERN AVE",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891197825",
            "telephone_number": "702-893-3937"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON OD, P.C.",
        "first_name": "STEPHANIE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-07-25",
        "last_updated": "2012-08-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NV",
            "license": "728",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Johnson & Ballner LLC (Quiet River Psychiatry)
• Johnson Health Solutions, PLLC
• Johnson Implant Dentisrty Associates (ClearChoice Dental Implant Center)
• Patrick Johnson Jr
• Johnson N Johnson's Mobile Phlebotomy
• Aaliyah N Johnson Walls, RBT
• Johnson Wellness Centers Inc (Spine Wellness Center of Southern Nevada)
• Mercede Johnson- Roberts
• Leslie Johnson-Ako
• Kendal Johnson-Ellenbeck

• Optometrist in Las Vegas, NV
• Providers in Las Vegas, NV by specialty
• Optometrist in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2012; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.