Bryce S Johnson, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

OPT702 Issued in NM

Practice address

850 W Florida St
Deming, NM 88030-4558

Phone

(575) 544-2020

NPI assigned

Jul 2, 2018

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

Medicare fee-for-service enrollment

Enrolled in NM

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Optometry

Education

Southern College of Optometry, 2018

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Fillmore Eye Clinic IncorporatedGroup PAC ID 7214069293, 13 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

75 of 100Reported as group

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: bjohnson@fec.intellechartdirect.net

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.

• Fillmore Eye Clinic Incorporated

  • Ophthalmology Physician
  • Alamogordo, NM
  • NPI 1083931182

  NM

  Medicare reassignment Care Compare group NPD
• Fillmore Eye Clinic Incorporated

  • Ambulatory Surgical Clinic/Center
  • Alamogordo, NM
  • NPI 1487657862
  Care Compare group NPD (past)
• Fillmore Eye Clinic Incorporated

  • Ophthalmology Physician
  • Alamogordo, NM
  • NPI 1104295906
  NPD

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

{
    "created_epoch": "1530489600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1530489600000",
    "number": "1952897019",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1124 10TH ST",
            "city": "ALAMOGORDO",
            "state": "NM",
            "postal_code": "883106414",
            "telephone_number": "575-434-1200",
            "fax_number": "575-437-3947"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "850 W FLORIDA ST",
            "city": "DEMING",
            "state": "NM",
            "postal_code": "880304558",
            "telephone_number": "575-544-2020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "BRYCE",
        "middle_name": "S",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-07-02",
        "last_updated": "2018-07-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NM",
            "license": "OPT702",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Silvia Jacquez-Achaval
• Mary Jaime, RN
• Patricia Jankowski, RN
• Rebecca Joe
• John Edward Lundy MD PC
• Yessenia Juarez
• Peter Kerr Kaiser, LSAA
• Charles Joseph Kara
• Karr Kare
• Codi Keeler

• All providers in Deming, NM
• Optometrist in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.