Donald J Johnson OD PC

Primary specialty

OptometristTaxonomy code 152W00000X

License

1642ATI Issued in OR

Legal business name

DONALD J JOHNSON OD PC

Practice address

635 Thornton Way
Ashland, OR 97520-4500

Phone

(541) 488-1417

NPI assigned

Aug 23, 2005

Organization subpart

No

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

Authorized official

Name

Dr. Donald J Johnson, OD

Title

President

Phone

(541) 488-1417

Specialties & licenses 4

Addresses

Other identifiers 1

Other names 1

• Optometric Coverage Doing business as

Locations

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

{
    "created_epoch": "1124755200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1202601600000",
    "number": "1992798136",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 759",
            "city": "ASHLAND",
            "state": "OR",
            "postal_code": "975200026",
            "telephone_number": "541-488-1417"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "635 THORNTON WAY",
            "city": "ASHLAND",
            "state": "OR",
            "postal_code": "975204500",
            "telephone_number": "541-488-1417"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DONALD J JOHNSON OD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-08-23",
        "last_updated": "2008-02-10",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "DONALD",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "541-488-1417",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Optometrist",
            "state": "OR",
            "license": "1642ATI",
            "primary": true
        },
        {
            "code": "152WC0802X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Optometrist, Corneal and Contact Management",
            "state": "OR",
            "license": "1642ATI",
            "primary": false
        },
        {
            "code": "152WL0500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Optometrist, Low Vision Rehabilitation",
            "state": "OR",
            "license": "1642ATI",
            "primary": false
        },
        {
            "code": "152WP0200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Optometrist, Pediatrics",
            "state": "OR",
            "license": "1642ATI",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "031380",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Optometric Coverage",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Agnieszka Kamila Dobiecka, MD
• Dodd Integrative Medicine
• Kamara Marie Dodd, FNP
• Judith Dolmatch, MSW
• Steven B Dominguez
• Jennifer W Dorosh, MD
• Megan Elizabeth Doty, MACOM, LAC
• Rebecca Douthit, LMT
• Jennifer Anne Downs, LPC
• Dr Brad S Kauder LLC

• Optometrist in Ashland, OR
• Providers in Ashland, OR by specialty
• Optometrist in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 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.