Christine Johnson, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

T008875-1 Issued in NY

Practice address

510 6TH Ave
New York, NY 10011-8412

Phone

(212) 647-0801

Fax

(212) 647-0818

NPI assigned

Dec 6, 2018

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 names 1

• Christine Poulose Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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.

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 and National Provider Directory roles.

• Luxottica of America Inc.

  dba Lenscrafters #2742

  • Eyewear Supplier
  • New York, NY
  • NPI 1760536452
  NPD (past)
• Luxottica of America Inc

  dba Lenscrafters #E895

  • Eyewear Supplier
  • Kansas City, MO
  • NPI 1497412522
  NPD (past)

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

{
    "created_epoch": "1544054400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1782777600000",
    "number": "1962973693",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "510 6TH AVE",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100118412",
            "telephone_number": "212-647-0801",
            "fax_number": "212-647-0818"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "510 6TH AVE",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100118412",
            "telephone_number": "212-647-0801",
            "fax_number": "212-647-0818"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2094 Albany Post Rd",
            "address_purpose": "LOCATION",
            "city": "Montrose",
            "state": "NY",
            "postal_code": "105481454",
            "country_code": "US",
            "telephone_number": "914-737-4400",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2823 Clarendon Blvd",
            "address_purpose": "LOCATION",
            "city": "Arlington",
            "state": "VA",
            "postal_code": "222012867",
            "country_code": "US",
            "telephone_number": "703-294-6600",
            "fax_number": "703-294-9980",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "CHRISTINE",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-12-06",
        "last_updated": "2026-06-30",
        "certification_date": "2026-06-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NY",
            "license": "T008875-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CHRISTINE",
            "last_name": "POULOSE",
            "credential": "OD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Caroline Marie Johnson, MD
• Caryl D Johnson, OT CHT
• Catherine Johnson, PHARMD, BCOP
• Cecile N. Johnson
• Chance Johnson
• Christopher Anthony Johnson, DPT
• Christopher Lynn Johnson, MD
• Claire Ann Johnson
• Cleo Johnson
• Cole R Johnson, MD

• Optometrist in New York, NY
• Providers in New York, NY by specialty
• Optometrist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2026; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.