Robert James Johnson Jr., O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

OEG 1079 Issued in PA

Practice address

600 Ligonier St
Latrobe, PA 15650-1426

Phone

(724) 537-5358

NPI assigned

Jan 4, 2006

Last updated

Sep 13, 2016By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Enrolled in PA

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

Pennsylvania College of Optometry, 1979

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

State licenses

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.

• Johnson Family Eyecare

  • Optometrist
  • Latrobe, PA
  • NPI 1588707723
  Medicare reassignment

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

{
    "created_epoch": "1136332800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1473724800000",
    "number": "1972581478",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 LIGONIER ST",
            "city": "LATROBE",
            "state": "PA",
            "postal_code": "156501426",
            "telephone_number": "724-537-5358"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 LIGONIER ST",
            "city": "LATROBE",
            "state": "PA",
            "postal_code": "156501426",
            "telephone_number": "724-537-5358"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON JR.",
        "first_name": "ROBERT",
        "middle_name": "JAMES",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-01-04",
        "last_updated": "2016-09-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "PA",
            "license": "OEG 1079",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "007052715",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Donald Jakubek, MD
• Sanjeev Jethmalani, MD
• Kangsun Jin, CRNP
• Joelle L. Kemerer-Archer, Ma, NCC, LPC, LLC.
• Johnson Family Eyecare
• Edward P Johnson, M.D.
• Whitney Allison Joson, MOT, OTR/L
• Indiana Xavier Judy, DO
• Evelyn Jung, DO
• Margaret Mary Karcher

• Optometrist in Latrobe, PA
• Providers in Latrobe, PA by specialty
• Optometrist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2016; 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.