Alisha R Johnson, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

OPC 3652 Issued in FL

Practice address

6002 Pointe West Blvd
Bradenton, FL 34209-5531

Phone

(941) 792-2020

Fax

(941) 782-1089

NPI assigned

Apr 11, 2006

Sex

Female

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

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

{
    "created_epoch": "1144713600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1211241600000",
    "number": "1962465849",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6002 POINTE WEST BLVD",
            "city": "BRADENTON",
            "state": "FL",
            "postal_code": "342095531",
            "telephone_number": "941-792-2020",
            "fax_number": "941-782-1089"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6002 POINTE WEST BLVD",
            "city": "BRADENTON",
            "state": "FL",
            "postal_code": "342095531",
            "telephone_number": "941-792-2020",
            "fax_number": "941-782-1089"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "ALISHA",
        "middle_name": "R",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-04-11",
        "last_updated": "2008-05-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "FL",
            "license": "OPC 3652",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "620900900",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Joel Garcia Boss DMD P.a
• John Cottam MD PA
• Johnny Alvarez, MD, PA
• Tamara Johnson Keeton
• Alicia Johnson, DDS
• Brittney Janae Johnson, APRM
• Courtney Johnson
• Daniel James Johnson, MD
• Jeffrey Joseph Johnson, PT CSCS
• Kimberly Johnson, LPC, LMHC

• Optometrist in Bradenton, FL
• Providers in Bradenton, FL by specialty
• Optometrist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2008; 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.