Michael Wayne Johnson, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

10133T Issued in CA

Practice address

5777 Greenback LN
Ste. 100
Sacramento, CA 95841-2013

Phone

(916) 231-0034

Fax

(916) 231-0038

NPI assigned

Jan 20, 2006

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

Other names 1

• Mr. Michael Wayne Johnson Other name

Medicare fee-for-service enrollment

Enrolled in CA

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

Other, 1993

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Eye Center Optometrics a Professional CorporationGroup PAC ID 4385613595, 11 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Eye Center Optometrics, a Professional Corporation

  • Optometrist
  • Citrus Heights, CA
  • NPI 1245369024

  CA, Optometrist

  Medicare reassignment Care Compare group NPD
• First Optometric Care of Northern California PC

  • Optometrist
  • Rancho Cordova, CA
  • NPI 1154972404

  CA, Optometrist

  Medicare reassignment NPD
• Eye Center Optometrics, a Professional Corporation

  • Optometrist
  • Citrus Heights, CA
  • NPI 1619440567
  NPD
• First Optometric Care of Northern California PC

  • Optometrist
  • Fair Oaks, CA
  • NPI 1295320778
  NPD
• First Optometric Care of Northern California PC

  • Optometrist
  • San Jose, CA
  • NPI 1487537452
  NPD
• Eye Center Optometrics, a Professional Corporation

  • Optometrist
  • Rocklin, CA
  • NPI 1275869166
  NPD (past)
• Eyecenter Optometrics, a Professional Corporation

  • Optometrist
  • Gold River, CA
  • NPI 1346576295
  NPD (past)
• First Optometric Care of Northern California PC

  • Optometrist
  • Sacramento, CA
  • NPI 1457946931
  NPD (past)

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

{
    "created_epoch": "1137715200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1343692800000",
    "number": "1972583391",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5777 GREENBACK LN",
            "address_2": "STE. 100",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958412013",
            "telephone_number": "916-231-0034",
            "fax_number": "916-231-0038"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5777 GREENBACK LN",
            "address_2": "STE. 100",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958412013",
            "telephone_number": "916-231-0034",
            "fax_number": "916-231-0038"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "MICHAEL",
        "middle_name": "WAYNE",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-01-20",
        "last_updated": "2012-07-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "10133T",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "SD0101330",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MICHAEL",
            "last_name": "JOHNSON",
            "middle_name": "WAYNE",
            "prefix": "MR.",
            "credential": "OD",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Matthew Johnson
• Matthew Aaron Johnson, DO
• Michael Johnson
• Michael Austin Johnson, MD, PHD
• Michael Rondell Johnson
• Michelle Honorae-Cano Johnson
• Monique Johnson
• Nan Louise Johnson, LCSW
• Nicholaus Johnson
• Nicole Elizabeth Johnson

• All providers in Sacramento, CA
• Optometrist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2012; 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.