Andrew Daniel Johnson, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

544 Issued in NM

Practice address

3050 E Lohman Ave Ste F
Las Cruces, NM 88011-8256

Phone

(575) 521-4053

Fax

(575) 522-5592

NPI assigned

Nov 2, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NM, TX2 enrollments

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 2

Specialty

Optometry

Education

Southern College of Optometry, 2002

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Andrew D Johnson OD PCGroup PAC ID 0749452779, 2 clinicians

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 and National Provider Directory roles.

• Andrew D. Johnson, O.D., P.C.

  • Point of Service
  • Roswell, NM
  • NPI 1235429150

  NM

  Medicare reassignment Care Compare group NPD Authorized official

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

{
    "created_epoch": "1162425600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1604448000000",
    "number": "1801975826",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3050 E LOHMAN AVE STE F",
            "city": "LAS CRUCES",
            "state": "NM",
            "postal_code": "880118256",
            "telephone_number": "575-521-4053",
            "fax_number": "575-522-5592"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3050 E LOHMAN AVE STE F",
            "city": "LAS CRUCES",
            "state": "NM",
            "postal_code": "880118256",
            "telephone_number": "575-521-4053",
            "fax_number": "575-522-5592"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "ANDREW",
        "middle_name": "DANIEL",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-02",
        "last_updated": "2020-11-04",
        "certification_date": "2020-11-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NM",
            "license": "544",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• John a Flores MD LLC
• John G Kutinac, Inc
• John M. Ramirez MD PC
• Lisa Johnson-Caldwell, LSAA
• Zachary Johnson-Carlson, PTA
• Ashley K Johnson, DMD
• David Freeland Johnson, PHARMACIST
• Deborah E. Johnson, MS, CCC-SLP
• Deborah Kay Johnson
• Dharma Johnson

• Optometrist in Las Cruces, NM
• Providers in Las Cruces, NM by specialty
• Optometrist in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 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.