Johnston Ocular Prosthetics,Inc

Primary specialty

Prosthetic/Orthotic SupplierTaxonomy code 335E00000X

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

Dec 28, 2006

Organization subpart

No

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

Authorized official

Name

Lisa Johnston, BADO, BCONPI 1043691959

Title

President

Phone

(919) 207-2515

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NC

Enrollment records 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

  • Customized Equipment (DME)
  • Benson, NC
  • NPI 1790163806
  NPD tax ID

Practitioners 1

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

• 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": "1167264000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1831255561",
    "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": "2006-12-28",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "JOHNSTON",
        "authorized_official_first_name": "LISA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "919-207-2515",
        "authorized_official_credential": "BADO, BCO"
    },
    "taxonomies": [
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7795130",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Millie A Johnson, O.D.
• Scott Eric Johnson, TH.D
• Johnston Integrative Counseling
• Johnston Memorial Hospital Authority
• Johnston Ocular Prosthetics, Inc
• Lisa C Johnston, BCO, BADO
• Andrea Jones, AUDIOLOGIST
• Benjamin L Jorgensen
• Brenda Jean Justice, PAC
• Anita Podasaini Kafle, PA

• Prosthetic/Orthotic Supplier in Benson, NC
• Providers in Benson, NC by specialty
• Prosthetic/Orthotic Supplier in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.