C Stephen Johnson, OD FAAO

Primary specialty

OptometristTaxonomy code 152W00000X

License

5287T Issued in CA

Practice address

2551 San Ramon Valley BLV
Ste 101
San Ramon, CA 94583-1661

Phone

(925) 743-1222

Fax

(925) 743-1221

NPI assigned

Jul 13, 2005

Reactivated

Mar 21, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1121212800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1223942400000",
    "number": "1902804875",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2551 SAN RAMON VALLEY BLV",
            "address_2": "STE 101",
            "city": "SAN RAMON",
            "state": "CA",
            "postal_code": "945831661",
            "telephone_number": "925-743-1222",
            "fax_number": "925-743-1221"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2551 SAN RAMON VALLEY BLV",
            "address_2": "STE 101",
            "city": "SAN RAMON",
            "state": "CA",
            "postal_code": "945831661",
            "telephone_number": "925-743-1222",
            "fax_number": "925-743-1221"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "C STEPHEN",
        "name_prefix": "Dr.",
        "credential": "OD FAAO",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-07-13",
        "last_updated": "2008-10-14",
        "deactivation_date": "2006-03-16",
        "reactivation_date": "2006-03-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "5287T",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE PIN#",
            "identifier": "P00175769",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Joann H. Dohallow
• Joanne Vogel MD Inc
• Joanne Vogel MD Inc
• Gabriela Nataly Ron Jobava, PA-C
• Alona Johnson
• Denisha Johnson
• Katherine S Johnson, MFT
• Mary Jo Johnson, LCSW
• Megan Johnson, PHD
• Susan B Johnson, NNP

• Optometrist in San Ramon, CA
• Providers in San Ramon, CA by specialty
• Optometrist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2008; 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.