Dr Jay D Johnson Optometrist PLC

Primary specialty

OptometristTaxonomy code 152W00000X

Legal business name

DR JAY D JOHNSON OPTOMETRIST PLC

Practice address

7000 Crossroads Blvd
Suite 1152
Oklahoma City, OK 73149-3202

Phone

(405) 632-2300

Fax

(405) 632-2939

NPI assigned

Apr 11, 2007

Organization subpart

No

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

Authorized official

Name

Mrs. Marie Johnson, JD

Title

General Manager

Phone

(405) 360-6285

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Heritage Vision Associates Doing business as

Practitioners 1

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

• Jay D. Johnson, OD

  • Optometrist
  • Norman, OK
  • NPI 1104970052
  NPD (past)

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

{
    "created_epoch": "1176249600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1240444800000",
    "number": "1841413622",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7000 CROSSROADS BLVD",
            "address_2": "SUITE 1152",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731493202",
            "telephone_number": "405-632-2300",
            "fax_number": "405-632-2939"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7000 CROSSROADS BLVD",
            "address_2": "SUITE 1152",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731493202",
            "telephone_number": "405-632-2300",
            "fax_number": "405-632-2939"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR JAY D JOHNSON OPTOMETRIST PLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-11",
        "last_updated": "2009-04-23",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "MARIE",
        "authorized_official_title_or_position": "GENERAL MANAGER",
        "authorized_official_telephone_number": "405-360-6285",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "JD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200083870A",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Heritage Vision Associates",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Optometrist in Oklahoma City, OK
• Providers in Oklahoma City, OK by specialty
• Optometrist in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 2009; 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.