Johnson Optometric Associates PA

Primary specialty

OptometristTaxonomy code 152W00000X

Legal business name

JOHNSON OPTOMETRIC ASSOCIATES PA

Practice address

918 7TH Ave
Garner, NC 27529-3677

Phone

(919) 779-3560

Fax

(919) 779-5773

NPI assigned

May 16, 2006

Last updated

Sep 8, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Robert L Johnson, ODNPI 1528019486

Title

Pres Owner

Phone

(919) 779-3560

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Enrolled in NC

Enrollment records 1

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• Johnson Optometric Associates PA

  • Optometrist
  • Fuquay Varina, NC
  • NPI 1457448300

  O20041102001143

  Same enrollment

Locations

Practitioners 7

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Robert L Johnson, OD

  • Optometrist
  • Fuquay Varina, NC
  • NPI 1528019486
  Medicare reassignment Care Compare group NPD Authorized official
• Cameron Waters Clinard, OD

  • Optometrist
  • Fuquay Varina, NC
  • NPI 1194245712
  Medicare reassignment Care Compare group NPD
• Jessica Nicole Cummings, OD

  • Optometrist
  • Fuquay Varina, NC
  • NPI 1558241687
  Medicare reassignment Care Compare group NPD
• Kevin P Hoye, OD

  • Optometrist
  • Durham, NC
  • NPI 1225011570
  Medicare reassignment Care Compare group NPD
• Barrett Keith Martin, O.D.

  • Optometrist
  • Fuquay Varina, NC
  • NPI 1366878878
  Medicare reassignment Care Compare group NPD
• Andrew Richard May, O.D.

  • Optometrist
  • Fuquay Varina, NC
  • NPI 1215260351
  Medicare reassignment Care Compare group NPD
• Rachel Haresh Jhala, OD

  • Optometrist
  • Fuquay Varina, NC
  • NPI 1497531446
  Medicare reassignment NPD

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

{
    "created_epoch": "1147737600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1694131200000",
    "number": "1750333126",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "918 7TH AVE",
            "city": "GARNER",
            "state": "NC",
            "postal_code": "275293677",
            "telephone_number": "919-779-3560",
            "fax_number": "919-779-5773"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "918 7TH AVE",
            "city": "GARNER",
            "state": "NC",
            "postal_code": "275293677",
            "telephone_number": "919-779-3560",
            "fax_number": "919-779-5773"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOHNSON OPTOMETRIC ASSOCIATES PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-16",
        "last_updated": "2023-09-08",
        "certification_date": "2023-09-08",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "PRES OWNER",
        "authorized_official_telephone_number": "919-779-3560",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "09461",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8909461",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "4493993",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Benjamin Jeffrey, NP-C
• Denisha Alexis Jeffreys
• Daniel Jennings
• JJ Home Care LLC
• JJ Home Care LLC
• Jasmine N Johnson, MA ,LCMHC
• Jeffrey Johnson, MD
• Taylor Johnson
• Johnsons Family Pharmacy and Compounding LLC (Johnson's Family Pharmacy)
• Johnston Memorial Hospital Authority (Johnston Memorial Quikmed II)

• Optometrist in Garner, NC
• Providers in Garner, NC by specialty
• Optometrist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.