Organization Active NPI

Katherine H. Johnson OD

  • Optometrist
  • Sanford, NC
National Provider Identifier
1932279288
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
1367 Issued in NC
Legal business name
KATHERINE H. JOHNSON OD
Practice address
3000 S Horner Blvd
Sanford, NC 27332-9644
Phone
(919) 774-3310
Fax
(919) 774-4950
NPI assigned
Nov 8, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Katherine Hood Johnson, O.D.
Title
Optometrist
Phone
(919) 774-3310

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X 1367 NC Primary

Addresses

Primary practice location

3000 S Horner Blvd
Sanford, NC 27332-9644

Mailing address

5149 Linksland Dr
Holly Springs, NC 27540-9155
Phone (919) 557-0957

Other identifiers 3

IdentifierTypeStateIssuer
27635OtherSPECTERA
0185NOtherNCBCBS
890903FMedicaidNC

Other names 1

  • CENTRAL CAROLINA OPTOMETRY Doing business as

National Provider Directory

National Provider Directory

Locations

3000 S Horner Blvd
Sanford, NC 27332
Phone (919) 774-3310

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1162944000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1932279288",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5149 LINKSLAND DR",
            "city": "HOLLY SPRINGS",
            "state": "NC",
            "postal_code": "275409155",
            "telephone_number": "919-557-0957",
            "fax_number": "919-774-4950"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3000 S HORNER BLVD",
            "city": "SANFORD",
            "state": "NC",
            "postal_code": "273329644",
            "telephone_number": "919-774-3310",
            "fax_number": "919-774-4950"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KATHERINE H. JOHNSON OD",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-08",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "KATHERINE",
        "authorized_official_middle_name": "HOOD",
        "authorized_official_title_or_position": "OPTOMETRIST",
        "authorized_official_telephone_number": "919-774-3310",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "NC",
            "license": "1367",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SPECTERA",
            "identifier": "27635",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "0185N",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "890903F",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CENTRAL CAROLINA OPTOMETRY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Sanford, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.