Johnston Ocular Prosthetics, Inc

Primary specialty

Customized Equipment (DME)Taxonomy code 332BC3200X

License

NONE Issued in NC

Legal business name

JOHNSTON OCULAR PROSTHETICS, INC

Practice address

7476 Old Fairground Rd
Benson, NC 27504-6105

Phone

(919) 207-2515

Fax

(919) 894-1335

NPI assigned

May 8, 2015

Last updated

May 8, 2015By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ms. Lisa C Johnston, BCO, BADONPI 1043691959

Title

President / Owner

Phone

(919) 207-2515

Specialties & licenses 1

Addresses

Other identifiers 1

Tax ID family

Johnston Ocular Prostheticsinc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Johnston Ocular Prosthetics,Inc

  • Prosthetic/Orthotic Supplier
  • Benson, NC
  • NPI 1831255561
  NPD tax ID

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Lisa C Johnston, BCO, BADO

  • Ocularist
  • Benson, NC
  • NPI 1043691959
  NPD Authorized official

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

{
    "created_epoch": "1431043200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1431043200000",
    "number": "1790163806",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7476 OLD FAIRGROUND RD",
            "city": "BENSON",
            "state": "NC",
            "postal_code": "275046105",
            "telephone_number": "919-207-2515",
            "fax_number": "919-894-1335"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7476 OLD FAIRGROUND RD",
            "city": "BENSON",
            "state": "NC",
            "postal_code": "275046105",
            "telephone_number": "919-207-2515",
            "fax_number": "919-894-1335"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOHNSTON OCULAR PROSTHETICS, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-05-08",
        "last_updated": "2015-05-08",
        "status": "A",
        "authorized_official_last_name": "JOHNSTON",
        "authorized_official_first_name": "LISA",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "PRESIDENT / OWNER",
        "authorized_official_telephone_number": "919-207-2515",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "BCO, BADO"
    },
    "taxonomies": [
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": "NC",
            "license": "NONE",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "332BC3200X",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• McKinley Caroline Johnson
• Millie A Johnson, O.D.
• Scott Eric Johnson, TH.D
• Johnston Integrative Counseling
• Johnston Memorial Hospital Authority (Johnston Family Care Center-McGees)
• Johnston Ocular Prosthetics,Inc
• Lisa C Johnston, BCO, BADO
• Andrea Jones, AUDIOLOGIST
• Benjamin L Jorgensen
• Brenda Jean Justice, PAC

• Customized Equipment (DME) in Benson, NC
• Providers in Benson, NC by specialty
• Customized Equipment (DME) in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.