H. Mike Johnson, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

1120 Issued in NC

Practice address

901 N Winstead Ave Ste 190
Rocky Mount, NC 27804-8712

Phone

(252) 937-7777

NPI assigned

Aug 25, 2005

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

Other identifiers 1

Other names 1

• Dr. Hursel Mike Johnson Professional name

Medicare fee-for-service enrollment

Enrolled in NC

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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

All facility ownership & control disclosures 3

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

Owned or controlled facilities with NPI records 3

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

• Nash Hospitals Inc

  • Community Based Hospice Care Agency
  • Rocky Mount, NC
  • NPI 1174590137

  Corporate Director

  CMS ownership
• Nash Hospitals Inc

  dba Nash General Hospital

  • General Acute Care Hospital
  • Rocky Mount, NC
  • NPI 1619969219

  Corporate Director

  CMS ownership
• Nash Hospitals Inc

  dba Bryant T. Aldridge Rehabilitation Center

  • Rehabilitation Hospital Unit
  • Rocky Mount, NC
  • NPI 1952359036

  Corporate Director

  CMS ownership

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.

• Myeyedr Optometry of North Carolina, PLLC

  dba MyEyeDr

  • Optometrist
  • Charlotte, NC
  • NPI 1023183563
  Medicare reassignment NPD
• Myeyedr Optometry of North Carolina PLLC

  dba MyEyeDr

  • Optometrist
  • New Bern, NC
  • NPI 1841248077
  NPD
• Myeyedr Optometry of North Carolina, PLLC

  • Optometrist
  • Monroe, NC
  • NPI 1407737182
  NPD
• Nash Hospitals Inc

  dba UNC Health Nash Specialty Care Transport

  • Land Ambulance
  • Rocky Mount, NC
  • NPI 1275374290
  NPD (past)

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

{
    "created_epoch": "1124928000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1539734400000",
    "number": "1841283702",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1950 OLD GALLOWS RD",
            "address_2": "SUITE 520",
            "city": "VIENNA",
            "state": "VA",
            "postal_code": "221823990",
            "telephone_number": "703-847-8897",
            "fax_number": "703-991-0514"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "901 N WINSTEAD AVE STE 190",
            "city": "ROCKY MOUNT",
            "state": "NC",
            "postal_code": "278048712",
            "telephone_number": "252-937-7777"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1950 Old Gallows Rd",
            "address_2": "Suite 520",
            "address_purpose": "LOCATION",
            "city": "Vienna",
            "state": "VA",
            "postal_code": "221823990",
            "country_code": "US",
            "telephone_number": "703-847-8897",
            "fax_number": "703-991-0514",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "H.",
        "middle_name": "MIKE",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-25",
        "last_updated": "2018-10-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NC",
            "license": "1120",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8909462",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "HURSEL",
            "last_name": "JOHNSON",
            "middle_name": "MIKE",
            "prefix": "DR.",
            "credential": "O.D.",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Evelyn Bernice Johnsom
• Angela Hunter Johnson, MSW, LCSWA
• Brooke Burnette Johnson, DMD
• Ciera Johnson
• Felicia Johnson, LPN
• Karen Johnson, CNM
• Kenneth Johnson
• Sue Johnson, PT
• Winnie Johnson, MS-CCCSLP
• Amanda Johnston, PT

• Optometrist in Rocky Mount, NC
• Providers in Rocky Mount, NC by specialty
• Optometrist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.