Individual provider Active NPI

Richard E Johns Jr., M.D.

  • Ophthalmology Physician
  • Parkersburg, WV
National Provider Identifier
1942204615
Registry record updated Sep 9, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
12687 Issued in WV
Practice address
106 Canterbury Dr
Parkersburg, WV 26104-8048
Phone
(304) 422-2702
Fax
(304) 485-3373
NPI assigned
Jun 9, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 9, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X 12687 WV Primary

Addresses

Primary practice location

106 Canterbury Dr
Parkersburg, WV 26104-8048

Mailing address

106 Canterbury Dr
Parkersburg, WV 26104-8048
Phone (304) 422-2702

Other practice location 1

7 Rosemar Cir
Parkersburg, WV 26104-1203
Phone (304) 485-6240

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WV
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20091209000444 WV Practitioner - Ophthalmology 9335144575 Practice locations: Parkersburg, WV

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
12687WVMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Rise Up Mental Health Care PastSince Nov 1, 2021 Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1118275200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1662681600000",
    "number": "1942204615",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "106 CANTERBURY DR",
            "city": "PARKERSBURG",
            "state": "WV",
            "postal_code": "261048048",
            "telephone_number": "304-422-2702",
            "fax_number": "304-485-3373"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "106 CANTERBURY DR",
            "city": "PARKERSBURG",
            "state": "WV",
            "postal_code": "261048048",
            "telephone_number": "304-422-2702",
            "fax_number": "304-485-3373"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7 Rosemar Cir",
            "address_purpose": "LOCATION",
            "city": "Parkersburg",
            "state": "WV",
            "postal_code": "261041203",
            "country_code": "US",
            "telephone_number": "304-485-6240",
            "fax_number": "304-485-3373",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JOHNS",
        "first_name": "RICHARD",
        "middle_name": "E",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-06-09",
        "last_updated": "2022-09-09",
        "certification_date": "2022-09-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "WV",
            "license": "12687",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Parkersburg, WV

Sources for this page

Verify at the official NPI Registry.