Active NPI
Julia Patricia Johnson, O.D.
- Optometrist
- Delafield, WI
National Provider Identifier
1770765638
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 2609-35
- Practice address
- 3175 Golf Rd
Delafield, WI 53018-2156 - Phone
- (262) 646-7400
- Fax
- (262) 646-7413
- NPI assigned
- Dec 3, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 2609-35 | WI | Primary |
Addresses
Primary practice location
3175 Golf Rd
Delafield, WI 53018-2156
Mailing address
3175 Golf Rd
Delafield, WI 53018-2156
Phone (262) 646-7400
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WI
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20071221000311 | WI | Practitioner - Optometry | 9931299393 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Optometry
- Education
- Illinois College of Optometry at Chicago, 1994
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
3175 Golf Rd
Delafield, WI 53018-2156
Phone (262) 646-7400
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Cataract surgery | 45 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Delafield Vision Center LTD | Optometrist | Current | Accepting new patients |
Locations
3175 Golf Rd
Delafield, WI 53018
Phone (262) 646-7400
Organizations & group practices 1
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.
-
- Optometrist
- Delafield, WI
- NPI 1356487995
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1196640000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1207612800000",
"number": "1770765638",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3175 GOLF RD",
"city": "DELAFIELD",
"state": "WI",
"postal_code": "530182156",
"telephone_number": "262-646-7400",
"fax_number": "262-646-7413"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3175 GOLF RD",
"city": "DELAFIELD",
"state": "WI",
"postal_code": "530182156",
"telephone_number": "262-646-7400",
"fax_number": "262-646-7413"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JOHNSON",
"first_name": "JULIA",
"middle_name": "PATRICIA",
"name_prefix": "Dr.",
"credential": "O.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-12-03",
"last_updated": "2008-04-08",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "WI",
"license": "2609-35",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Delafield, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 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.