Michael Lee Johnson, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

AZ1376 Issued in AZ

Practice address

114 W Camelback Rd
Phoenix, AZ 85013-2563

Phone

(602) 264-4104

Fax

(602) 241-0687

NPI assigned

Aug 18, 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 AZ

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

Specialty

Optometry

Education

Pacific University - College of Optometry, 2004

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: dr.michael.johnson@direct.eyecare-partners.com
• FHIR API: https://app.meldrx.com/api/fhir/ecp_cecaz

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.

• Affiliated Eye Surgeons LTD

  • Ophthalmology Physician
  • Phoenix, AZ
  • NPI 1457334641
  Medicare reassignment NPD
• Nationwide Optometry P.C.

  dba Nationwide Vision

  • Optometrist
  • Tempe, AZ
  • NPI 1326472945
  Medicare reassignment NPD
• Mobilitycares Arizona LLC

  • Optometrist
  • Caldwell, ID
  • NPI 1063210201

  AZ

  Medicare reassignment NPD
• Cigna Health Care of Arizona Inc.

  dba EVERNORTH Care Group Paradise Valley Multi-Specialty Center

  • Multi-Specialty Clinic/Center
  • Phoenix, AZ
  • NPI 1619048048
  NPD
• Cigna Health Care of Arizona Inc.

  dba EVERNORTH Care Group Paseo Multi-Specialty Center

  • Multi-Specialty Clinic/Center
  • Glendale, AZ
  • NPI 1689745333
  NPD
• Cigna Healthcare of Arizona, Inc.

  dba EVERNORTH Care Group

  • Multi-Specialty Clinic/Center
  • Scottsdale, AZ
  • NPI 1073626404
  NPD
• Nationwide Optometry P.C.

  dba Nationwide Vision

  • Optometrist
  • Sun City West, AZ
  • NPI 1427374347
  NPD
• DSH OD, LLC

  dba Camelback Eye Care

  • Optometrist
  • Phoenix, AZ
  • NPI 1316368509
  NPD (past)
• Robert J Maynard OD PC

  • Corneal and Contact Management Optometrist
  • Phoenix, AZ
  • NPI 1407960008
  NPD (past)
• Tom Sowash OD & Associates PC

  dba Visionworks

  • Optometrist
  • Chandler, AZ
  • NPI 1174627202
  NPD (past)
• Visionworks Inc

  dba Visionworks

  • Eyewear Supplier
  • Gilbert, AZ
  • NPI 1306099643
  NPD (past)

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

{
    "created_epoch": "1155859200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1841304052",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "114 W CAMELBACK RD",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850132563",
            "telephone_number": "602-264-4104",
            "fax_number": "602-241-0687"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "114 W CAMELBACK RD",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850132563",
            "telephone_number": "602-264-4104",
            "fax_number": "602-241-0687"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "MICHAEL",
        "middle_name": "LEE",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-18",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "AZ",
            "license": "AZ1376",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Melissa Johnson, RN
• Mercedes Fierra Johnson
• Michael A Johnson
• Michael Anthony Johnson Jr.
• Michael James Johnson, M.D.
• Michael Scott Johnson, LMSW-T
• Michelle Renee Johnson, R.N.
• Mischelle K Johnson, PAC
• Monique M Johnson, DPT
• Mystie L Johnson, MD

• Optometrist in Phoenix, AZ
• Providers in Phoenix, AZ by specialty
• Optometrist in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.