Individual provider Active NPI

Julia Patricia Johnson, O.D.

  • Optometrist
  • Delafield, WI
National Provider Identifier
1770765638
Registry record updated Apr 8, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
2609-35 Issued in WI
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

Updated by the provider on Apr 8, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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

ProcedureNumber of procedures
Cataract surgery45

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Delafield Vision Center LTD Optometrist CurrentSince Jul 1, 1995 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.

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

Verify at the official NPI Registry.