Individual provider Active NPI

Aisha Jayne Johnson, DOCTOR OF OPTOMETRY

  • Optometrist
  • Houston, TX
National Provider Identifier
1962852350
Registry record updated Jan 25, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
9725T Issued in TX
Practice address
238 Meyerland Plaza Mall
Houston, TX 77096
Phone
(713) 771-2020
Fax
(713) 668-3366
NPI assigned
Jun 15, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 25, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 9725T TX Primary
Optometrist 152W00000X KS 2028 KS

Addresses

Primary practice location

238 Meyerland Plaza Mall
Houston, TX 77096

Mailing address

238 Meyerland Plaza Mall
Houston, TX 77096-1609
Phone (713) 771-2020

Other practice location 1

16200 City Walk
Sugar Land, TX 77479-6543
Phone (281) 265-2000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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

Enrollment IDStateProvider typePAC IDDetails
I20190625002735 TX Practitioner - Optometry 8325335938 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
University of Houston - College of Optometry, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Wentz and Woodrich PLLCGroup PAC ID 5991131955, 5 clinicians

Practice addresses (Care Compare)

4015 84TH St
Lubbock, TX 79423-1913
Phone (806) 798-2020

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
9725TXMDProfessional Counselor
KS 2028KSMDOptometrist
9725TTXMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Wentz and Woodrich PLLC Optometrist CurrentSince Aug 21, 2025 Accepting new patients
Temple Optometrists, P.C. Optometrist PastSince Aug 1, 2021 Accepting new patients

Locations

4015 84th St
Lubbock, TX 79423
Phone (806) 798-2020

Organizations & group practices 2

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": "1465948800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1579910400000",
    "number": "1962852350",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "238 MEYERLAND PLAZA MALL",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770961609",
            "telephone_number": "713-771-2020",
            "fax_number": "713-668-3366"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "238 MEYERLAND PLAZA MALL",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "77096",
            "telephone_number": "713-771-2020",
            "fax_number": "713-668-3366"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "16200 City Walk",
            "address_purpose": "LOCATION",
            "city": "Sugar Land",
            "state": "TX",
            "postal_code": "774796543",
            "country_code": "US",
            "telephone_number": "281-265-2000",
            "fax_number": "281-265-2141",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "AISHA",
        "middle_name": "JAYNE",
        "credential": "DOCTOR OF OPTOMETRY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-06-15",
        "last_updated": "2020-01-25",
        "certification_date": "2020-01-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TX",
            "license": "9725T",
            "primary": true
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "KS",
            "license": "KS 2028",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

Verify at the official NPI Registry.