Lynn Davis Johnson, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

OP2938 Issued in FL

Practice address

1103 US Highway 1
Sebastian, FL 32958-8660

Phone

(772) 589-8654

Fax

(772) 581-3810

NPI assigned

Jul 31, 2006

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

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in FL

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

Southern College of Optometry, 1995

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

John J Marcin and Associates PAGroup PAC ID 9436255353, 2 clinicians

Jennifer L. Loar OD PAGroup PAC ID 2062451305, 3 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

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.

• Jennifer L. Loar OD PA

  • Optometrist
  • Sebastian, FL
  • NPI 1821078163
  Medicare reassignment Care Compare group NPD
• John J Marcin & Associates PA

  • Optometrist
  • Melbourne, FL
  • NPI 1821184870
  Medicare reassignment Care Compare group NPD
• Brian S Armitage, O.D., P.a.

  • Corneal and Contact Management Optometrist
  • Jacksonville, FL
  • NPI 1740207182
  NPD (past)

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

{
    "created_epoch": "1154304000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1740296763",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1103 US HIGHWAY 1",
            "city": "SEBASTIAN",
            "state": "FL",
            "postal_code": "329588660",
            "telephone_number": "772-589-8654",
            "fax_number": "772-581-3810"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1103 US HIGHWAY 1",
            "city": "SEBASTIAN",
            "state": "FL",
            "postal_code": "329588660",
            "telephone_number": "772-589-8654",
            "fax_number": "772-581-3810"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "LYNN",
        "middle_name": "DAVIS",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-31",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "FL",
            "license": "OP2938",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "20646",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P0223315",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Elizabeth H Jarvis, MSN APN CNS
• Joseph Nevelus Jean, PHARMACIST
• Jennifer L. Loar OD PA
• Jennifer Moore, M.D., PA
• Geneva Johnson
• Joint Pain Relief Centers Inc
• Vonda Dionne Jones-Hudson, PH.D., MDIV.
• Joseph Cheries Psy D PL
• Latoya Joseph, DMD
• Steve Paul Joseph II, DMD

• Optometrist in Sebastian, FL
• Providers in Sebastian, FL by specialty
• Optometrist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.