Monica Johnsonbaugh, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

4901004540 Issued in MI

Practice address

17135 Kercheval Ave
Grosse Pointe, MI 48230-1660

Phone

(313) 473-9339

Fax

(313) 406-7254

NPI assigned

Jul 10, 2009

Last updated

Oct 14, 2020By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Other names 1

• Monica Bedroya Former name

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

Indiana University - School of Optometry, 2009

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Focus 313 Eyecare, P.C.

  • Optometrist
  • Grosse Pointe, MI
  • NPI 1922472505
  Medicare reassignment NPD Authorized official
• Reed Vision Associates, P.C.

  • Optometrist
  • Monroe, MI
  • NPI 1811914898
  NPD (past)
• Mercy Eye Institute, LLC.

  dba Reed Vision by Mercy

  • Ophthalmology Physician
  • Toledo, OH
  • NPI 1770806143

  Optometrist

  NPD (past)

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

{
    "created_epoch": "1247184000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1602633600000",
    "number": "1750510897",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 617",
            "city": "ROSEVILLE",
            "state": "MI",
            "postal_code": "480660617",
            "telephone_number": "317-374-2225"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17135 KERCHEVAL AVE",
            "city": "GROSSE POINTE",
            "state": "MI",
            "postal_code": "482301660",
            "telephone_number": "313-473-9339",
            "fax_number": "313-406-7254"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "31873 Gratiot Ave",
            "address_purpose": "LOCATION",
            "city": "Roseville",
            "state": "MI",
            "postal_code": "480664527",
            "country_code": "US",
            "telephone_number": "317-374-2225",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JOHNSONBAUGH",
        "first_name": "MONICA",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-07-10",
        "last_updated": "2020-10-14",
        "certification_date": "2020-10-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "IN",
            "license": "18003575A",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "OH",
            "license": "5842",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MI",
            "license": "4901004540",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MONICA",
            "last_name": "BEDROYA",
            "credential": "O.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• William George Jennings, D.D.S.
• Katherine Mary Jeup, PA
• Reynald John, MD
• Kristen Marie Johnson, DPT
• Mariesa L Johnson, PA-C
• Kezi L Jones-Farmer
• Shantese Jones
• Manju Jose, NP
• Najah Joseph, MD
• Riya Joseph, DO

• Optometrist in Grosse Pointe, MI
• Providers in Grosse Pointe, MI by specialty
• Optometrist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2020; 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.