Sara Johnson

Primary specialty

OptometristTaxonomy code 152W00000X

License

4901004933 Issued in MI

Practice address

1400 W Maumee St
Adrian, MI 49221-1804

Phone

(517) 265-5444

NPI assigned

Dec 8, 2015

Sex

Female

Sole proprietor

No

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 MI

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

Specialty

Optometry

Education

Other, 2015

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Aj Johnson OD PCGroup PAC ID 6406257203, 3 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: sjohnson627005@direct.hfhs.org

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.

• A.J. Johnson, OD, PC

  • Optometrist
  • Chelsea, MI
  • NPI 1184218141
  Medicare reassignment Care Compare group NPD
• Mid Michigan Eye Care Center, PC

  • Ophthalmology Physician
  • Jackson, MI
  • NPI 1649275041

  Optometrist

  NPD (past)
• DRS. Ravin, Birndorf & Ravin, Inc.

  • Ophthalmology Physician
  • Toledo, OH
  • NPI 1316043110

  Optometrist

  NPD (past)

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

{
    "created_epoch": "1449532800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1730554361",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3418 MAYAPPLE LN",
            "address_2": "APT 32",
            "city": "JACKSON",
            "state": "MI",
            "postal_code": "492017286"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1400 W MAUMEE ST",
            "city": "ADRIAN",
            "state": "MI",
            "postal_code": "492211804",
            "telephone_number": "517-265-5444"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1116 W Ganson St",
            "address_purpose": "LOCATION",
            "city": "Jackson",
            "state": "MI",
            "postal_code": "492024240",
            "country_code": "US",
            "telephone_number": "517-782-9436",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "SARA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-12-08",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MI",
            "license": "4901004933",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• John a Lark DDS PC
• Quincy Johnson Jr.
• Ava Jaymes Johnson
• David Howard Johnson, R.PH
• Greg Michael Johnson, PHD
• Jon Vincent Schoonmaker
• Brittney Jones
• Elmira Jane Jones, LMSW
• Mirjana Jovicic
• Judith Roes Hammerle, PH.D., LLC

• Optometrist in Adrian, MI
• Providers in Adrian, MI by specialty
• Optometrist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; 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.