Individual provider Active NPI

Christopher Thomas Johnson, MD

  • Ophthalmology Physician
  • Sidney, OH
National Provider Identifier
1952780371
Registry record updated Nov 20, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
125068010 Issued in IL
Practice address
915 Michigan St
Sidney, OH 45365-2401
Phone
(937) 492-8040
NPI assigned
May 19, 2015
Last updated
Nov 20, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 20, 2023

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 125068010 IL Primary

Addresses

Primary practice location

915 Michigan St
Sidney, OH 45365-2401

Mailing address

915 Michigan St
Sidney, OH 45365-2401
Phone (937) 492-8040

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address cjohnson@ohvision.intellechartdirect.net

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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
I20191107000310 OH Practitioner - Ophthalmology 4385957604 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
Toledo Medical College, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Eye Care and Surgery Assoc., Inc.Group PAC ID 6507855145, 3 clinicians

Practice addresses (Care Compare)

915 Michigan St
Sidney, OH 45365-2401
Phone (937) 492-8040

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
92.67 of 100Reported as group
Quality
100
Improvement activities
40
Cost
75.56

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery914
Melanoma (skin cancer) excision1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
125068010ILMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Eye Care & Surgery Assoc., Inc. Ophthalmology CurrentSince Sep 2, 2019 Accepting new patients
Sidney ASC LLC PastSince Mar 31, 2023 Accepting new patients
Lima Memorial Joint Operating Company Past Accepting new patients

Locations

715 Rush Ave
Bellefontaine, OH 43311
Phone (937) 593-3937

801 Pro Dr
Celina, OH 45822
Phone (419) 586-6489

915 Michigan St
Sidney, OH 45365
Phone (937) 498-2311

915 Michigan St
Ste 101
Sidney, OH 45365
Phone (937) 492-8040

31 S Stanfield Rd
Ste 202
Troy, OH 45373
Phone (800) 492-8040

Interoperability endpoints

  • Direct secure messaging: cjohnson@ohvision.intellechartdirect.net
  • Direct secure messaging: cjohnson755562@direct.osumc.edu

Organizations & group practices 3

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.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1431993600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1700438400000",
    "number": "1952780371",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "915 MICHIGAN ST",
            "city": "SIDNEY",
            "state": "OH",
            "postal_code": "453652401",
            "telephone_number": "937-492-8040"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "915 MICHIGAN ST",
            "city": "SIDNEY",
            "state": "OH",
            "postal_code": "453652401",
            "telephone_number": "937-492-8040"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "CHRISTOPHER",
        "middle_name": "THOMAS",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-05-19",
        "last_updated": "2023-11-20",
        "certification_date": "2023-11-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "IL",
            "license": "125068010",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "cjohnson@ohvision.intellechartdirect.net",
            "affiliation": "N",
            "address_1": "915 Michigan St Ste 101",
            "city": "Sidney",
            "state": "OH",
            "country_code": "US",
            "postal_code": "453652401",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Sidney, OH

Sources for this page

Verify at the official NPI Registry.