Thomas Alan Johnson, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

18001657B Issued in IN

Practice address

407 Smith Dr
Auburn, IN 46706-3655

Phone

(260) 925-3116

Fax

(260) 925-3269

NPI assigned

Sep 15, 2005

Last updated

Dec 4, 2012By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Practice roles

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

• First Impressions Optometric Associates, LLC

  • Eyewear Supplier
  • Avon, IN
  • NPI 1205596996

  Optometrist

  NPD (past)
• Midwest Eye Consultants, P.C.

  dba Midwest Eye Consultants #12

  • Optometrist
  • Greensburg, IN
  • NPI 1013480482
  NPD (past)
• Midwest Eye Consultants, P.C.

  dba Midwest Eye Consultants - Warsaw

  • Optometrist
  • Warsaw, IN
  • NPI 1295798809
  NPD (past)

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

{
    "created_epoch": "1126742400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1354579200000",
    "number": "1942295910",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "407 SMITH DR",
            "address_2": "P.O.BOX 522",
            "city": "AUBURN",
            "state": "IN",
            "postal_code": "467063655",
            "telephone_number": "260-925-3116",
            "fax_number": "260-925-3269"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "407 SMITH DR",
            "city": "AUBURN",
            "state": "IN",
            "postal_code": "467063655",
            "telephone_number": "260-925-3116",
            "fax_number": "260-925-3269"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "THOMAS",
        "middle_name": "ALAN",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-09-15",
        "last_updated": "2012-12-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "IN",
            "license": "18001657B",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100103700A",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• James P. Spink (Family Counseling Center)
• Jason and Joann Sweitzer Family (Foundation Inc.)
• Tamyra Jauregui
• Arthur John Johnson, D.C.
• Sierra Brooke Johnson, MS, BCBA
• Cassandra Lynn Jones, PT
• Kayla Jordan
• Jeffrey L.Eonard Justice, MD
• Salisha D Keller
• Kennedy Family Medicine LLC

• Optometrist in Auburn, IN
• Providers in Auburn, IN by specialty
• Optometrist in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2012; 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.