Bruce L Johnson OD, Inc

Primary specialty

OptometristTaxonomy code 152W00000X

Legal business name

BRUCE L JOHNSON OD, INC

Practice address

1008 Riverburch Pkwy
Dalton, GA 30721-8630

Phone

(706) 278-0518

Fax

(706) 275-9715

NPI assigned

Feb 20, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Bruce L Johnson, O.D.NPI 1710919634

Title

President

Phone

(706) 278-0518

Specialties & licenses 1

Addresses

Other names 1

• Braun EyeCare Doing business as

Medicare fee-for-service enrollment

Enrolled in GA

Enrollment records 1

Member organizations 1

Organizations listed as members of this organization in the National Provider Directory.

• Braun Eyecare, Inc.

  • Optometrist
  • Dalton, GA
  • NPI 1639213093

  Member Of

  NPD member

Locations

Practitioners 3

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

• Bruce L Johnson, O.D.

  • Optometrist
  • Dalton, GA
  • NPI 1710919634
  Medicare reassignment Care Compare group NPD Authorized official
• Nicholas J Davis, O.D.

  • Optometrist
  • Dalton, GA
  • NPI 1508898412
  Medicare reassignment Care Compare group
• Karen Mireya Gonzalez, O.D.

  • Optometrist
  • Dalton, GA
  • NPI 1083136345
  Medicare reassignment NPD

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

{
    "created_epoch": "1171929600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1301443200000",
    "number": "1902941008",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1008 RIVERBURCH PKWY",
            "city": "DALTON",
            "state": "GA",
            "postal_code": "307218630",
            "telephone_number": "706-278-0518",
            "fax_number": "706-275-9715"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1008 RIVERBURCH PKWY",
            "city": "DALTON",
            "state": "GA",
            "postal_code": "307218630",
            "telephone_number": "706-278-0518",
            "fax_number": "706-275-9715"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRUCE L JOHNSON OD, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-20",
        "last_updated": "2011-03-30",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "BRUCE",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "706-278-0518",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Braun EyeCare",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Laura Brown, APRN
• Leeann Brown, N.P.
• Margaret Brown
• Suzanne Elizabeth Brown, RN, NP-C
• Teresa Brown
• Joy Bruner, FNP-C, MSN, ASN, RN
• William Andrew Bryson, PHARMD
• Kasey Buchanan, RN
• Kamri Alexis Buckman
• Lauren A Buono, PHD

• Optometrist in Dalton, GA
• Providers in Dalton, GA by specialty
• Optometrist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 2011; 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.