Johnson Eye Care PLLC

Primary specialty

OptometristTaxonomy code 152W00000X

License

5869TG Issued in TX

Legal business name

JOHNSON EYE CARE PLLC

Practice address

1375 S Main St Ste 202
Boerne, TX 78006-2844

Phone

(830) 428-0901

Fax

(210) 698-0340

NPI assigned

Aug 30, 2017

Last updated

Aug 30, 2017By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Jennifer Larkin Johnson, ODNPI 1457401747

Title

OD/Owner

Phone

(830) 428-0901

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Jennifer L Johnson, O.D.

  • Optometrist
  • Boerne, TX
  • NPI 1457401747
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1504051200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1504051200000",
    "number": "1841718897",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1692",
            "city": "BOERNE",
            "state": "TX",
            "postal_code": "780066692",
            "telephone_number": "830-428-0901",
            "fax_number": "210-698-0340"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1375 S MAIN ST STE 202",
            "city": "BOERNE",
            "state": "TX",
            "postal_code": "780062844",
            "telephone_number": "830-428-0901",
            "fax_number": "210-698-0340"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOHNSON EYE CARE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-08-30",
        "last_updated": "2017-08-30",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_middle_name": "LARKIN",
        "authorized_official_title_or_position": "OD/OWNER",
        "authorized_official_telephone_number": "830-428-0901",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Optometrist",
            "state": "TX",
            "license": "5869TG",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shawn Thomas Jenkins, DO
• Jennifer J. Krock PLLC (Meadows Psychotherapy)
• Amber Jimenez
• Stephanie Jimenez, LVN
• Joel B Nilsson MD PA (Trinity Adult and Pediatric Orthopedic Specialists)
• Jennifer E Johnson, MS, CCC-SLP
• Jennifer L Johnson, O.D.
• Kenneth Jay Johnson
• Madeline Alexis Johnson
• Susan Ly Johnson, O.D.

• Optometrist in Boerne, TX
• Providers in Boerne, TX by specialty
• Optometrist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 2017; 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.