Johnson Eyecare, P.C.

Primary specialty

OptometristTaxonomy code 152W00000X

License

IA02142 Issued in IA

Legal business name

JOHNSON EYECARE, P.C.

Practice address

1875 Middle Rd
Bettendorf, IA 52722-3203

Phone

(563) 359-4446

Fax

(563) 359-0381

NPI assigned

Dec 4, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Randall R Johnson, O.D.NPI 1780640391

Title

Doctor of Optometry

Phone

(563) 359-4446

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in IA

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Randall Richard Johnson, OD

  • Optometrist
  • Davenport, IA
  • NPI 1780640391
  Medicare reassignment NPD Authorized official
• Samantha Duplak Kindelsperger, OD

  • Optometrist
  • Virginia Beach, VA
  • NPI 1487216008

  IA

  Medicare reassignment NPD

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

{
    "created_epoch": "1165190400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1263254400000",
    "number": "1780742908",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1875 MIDDLE RD",
            "city": "BETTENDORF",
            "state": "IA",
            "postal_code": "527223203",
            "telephone_number": "563-359-4446",
            "fax_number": "563-359-0381"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1875 MIDDLE RD",
            "city": "BETTENDORF",
            "state": "IA",
            "postal_code": "527223203",
            "telephone_number": "563-359-4446",
            "fax_number": "563-359-0381"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOHNSON EYECARE, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-04",
        "last_updated": "2010-01-12",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "RANDALL",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "DOCTOR OF OPTOMETRY",
        "authorized_official_telephone_number": "563-359-4446",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "IA",
            "license": "IA02142",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PALMETTO GBA",
            "identifier": "DE1662",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• William P Jerome, MD
• Brooke Jewell
• Nancy K Jipp, A.R.N.P.
• Jay Christopher Johannsen, DC
• Johnson Chiropractic
• Julie Ann Jones, OTD, OTR/L, BCP
• Linda S Jones, MSED LMHC LPC CEAP
• Brooke Alexis Jordan, APRN
• Joshua T Pogue DMD PC
• Marni Fertig Juhasz, PHARMD

• Optometrist in Bettendorf, IA
• Providers in Bettendorf, IA by specialty
• Optometrist in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 2010; 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.