Terry G Johnson, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

OPC3011 Issued in FL

Practice address

210 US Highway 27 N
Avon Park, FL 33825-3073

Phone

(863) 453-3850

Fax

(863) 452-1462

NPI assigned

Oct 25, 2006

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

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

University Alabama Birmingham - School of Optometry, 1996

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

75 of 100Reported as individual

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.

• Sevigny & Johnson Eye Care, P.a.

  • Optometrist
  • Avon Park, FL
  • NPI 1497056063

  FL, Optometrist

  Medicare reassignment NPD
• Ronald O Sevigny OD

  • Optometrist
  • Avon Park, FL
  • NPI 1972799674
  NPD (past)

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

{
    "created_epoch": "1161734400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1219708800000",
    "number": "1750465845",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1648",
            "city": "AVON PARK",
            "state": "FL",
            "postal_code": "338261648",
            "telephone_number": "863-453-3850",
            "fax_number": "863-452-1462"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "210 US HIGHWAY 27 N",
            "city": "AVON PARK",
            "state": "FL",
            "postal_code": "338253073",
            "telephone_number": "863-453-3850",
            "fax_number": "863-452-1462"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "TERRY",
        "middle_name": "G",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-25",
        "last_updated": "2008-08-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "FL",
            "license": "OPC3011",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "620195400",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• J. Agustin Lacson M.D. Inc
• Joseph Jacob
• Tamara Jean Pierre III
• Marecia Shafaye Jefferson-Lias
• Sally A Johnson, LMT
• Alice Denise Jordan McGahee, MS, RBT
• Michael Ray Karr, PA-C
• Victoria Frances Kennedy, PTA
• Khurana Family Medicine M.D., P.a.
• Sunaina Khurana, MD

• All providers in Avon Park, FL
• Optometrist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2008; 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.