DR. DAVID MICHAEL JOHNSON (NPI# 1023260569) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1023260569 |
| Entity Type | Individual |
| Full Name | DR. DAVID MICHAEL JOHNSON |
| Credential | O.D. |
| Practice Address |
2756 S Broadway Ave Tyler TX 75701-5412 |
| Practice Telephone | 9035932345 |
| Practice Fax Number | 9035934646 |
| Mailing Telephone | 9035932345 |
| Mailing Fax Number | 9035934646 |
| Enumeration Date | 2008-10-15 |
| Last Update Date | 2020-06-30 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 152W00000X | Optometrist | 7283TG | TX | Eye and Vision Services Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | 215445201 | 05 | |
| TX | TEXAS OPTOMETRY BOARD | 7283TG | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841804044 | David Johnson | Home Health Aide | 4436 Davis Grove Blvd, Olive Branch, MS 38654-5631 | 2020-09-04 |
| 1952803314 | David M Johnson | Specialist | 1345 Nw 15th St, Lincoln City, OR 97367-3327 | 2018-03-01 |
| 1932615333 | David Johnson | Hearing Instrument Specialist | 905 N Cass St, Wabash, IN 46992-1043 | 2017-12-20 |
| 1316457211 | David Johnson | Specialist/Technologist | 14354 Mission Way, Broomfield, CO 80023-4049 | 2017-10-05 |
| 1437519501 | David Hale Johnson | Nurse Practitioner | 169 Doctors Drive, Boone, NC 28607 | 2016-03-02 |
| 1366812141 | David Clayton Johnson | Occupational Therapist | 201 Ridgecrest Dr, Chapel Hill, NC 27514-2104 | 2015-10-06 |
| 1447635529 | David Johnson | Student in an Organized Health Care Education/Training Program | 9666 Kent St, Elk Grove, CA 95624 | 2015-07-30 |
| 1245623628 | David Johnson | Pharmacist | 10223 50th Ave E, Tacoma, WA 98446-5412 | 2015-03-10 |
| 1710377585 | David Jackson Johnson | Counselor | 862 S Main St Ste 2, Brigham City, UT 84302-3300 | 2015-01-30 |
| 1376892828 | David Berek Johnson | Chiropractor | 7559 Kayne Blvd, Columbus, GA 31909-2521 | 2012-08-30 |
| Street Address |
2756 S BROADWAY AVE |
| City | TYLER |
| State | TX |
| Zip Code | 75701-5412 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174140297 | Rmo Eyecare | Optometrist | 2756 S Broadway Ave, Tyler, TX 75701-5412 | 2020-07-06 |
| 1821614033 | Rmo Eyecare, LLC | Optometrist | 2756 S Broadway Ave, Tyler, TX 75701-5412 | 2020-06-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962057059 | Gonzalo Fernandez | Physical Therapy Assistant | 753 S Beckham Ave, Tyler, TX 75701 | 2019-08-06 |
| 1215422654 | Adrianna Bussell | Nurse Practitioner | 1000 South Beckham, Tyler, TX 75701 | 2018-06-28 |
| 1285128017 | Idowu Akintokunbo Akinyele | Dentist | Aspen Dental, 4164 S Broadway Ave, Tyler, TX 75701 | 2018-06-15 |
| 1992208912 | Heather Renee Vancleave | Occupational Therapy Assistant | 1228 Louann Lane, Tyler, TX 75701 | 2018-03-15 |
| 1497260533 | Smile Workshop Mckinney, Pllc | Dentist | 301 N. Custer Rd, Mckinney, TX 75701 | 2017-12-12 |
| 1396266441 | Eye Surgery Center of East Texas, Pllc | Clinic/Center | 2448 E 5th St, Tyler, TX 75701 | 2017-06-29 |
| 1962936369 | Collins Complete Family Care | Nurse Practitioner | 1910 E Se Loop 323 # 176, Tyler, TX 75701 | 2017-04-12 |
| 1386187052 | Fellowship Health Team LLC | Home Health | 1124 S Fleishel Ave, Tyler, TX 75701 | 2016-11-29 |
| 1205382454 | Brenton Robinson | Nurse Practitioner | 1100 East Lake St, 160, Tyler, TX 75701 | 2016-08-28 |
| 1851846208 | Care First Pharmacy, LLC | Pharmacy | 1910 Roseland Blvd A, Tyler, TX 75701 | 2016-08-15 |
| Find all providers in zip 75701 | ||||
| Taxonomy Code | 152W00000X |
| Grouping | Eye and Vision Services Providers |
| Classification | Optometrist |
| Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system. |
| Notes: Source: American Optometric Association (AOA), approved by the AOA’s Board of Trustees, June 21, 2005. [7/1/2006: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215335500 | Daniel & Max, LLC | Optometrist | 8988 S Broadway Ave, Suite 116, Tyler, TX 75703 | 2014-12-18 |
| 1093082257 | Mister Eyecare | Optometrist | 4601 S Broadway Ave Ste F22, Tyler, TX 75703-1320 | 2011-11-16 |
| 1801109525 | Jacob Colt West | Optometrist | 2209 Firestone Cir, Tyler, TX 75703-5870 | 2010-07-22 |
| 1740425164 | William Darrell Parker | Optometrist | 1105 Laurelwood Dr, Tyler, TX 75703-3927 | 2008-12-15 |
| 1194859769 | Vantage Vision P.C. | Optometrist | 4601 S Broadway Ave, F22, Tyler, TX 75703-1307 | 2007-03-15 |
| 1033247598 | Larry M Chism PC | Optometrist | 136 Shelley Drive, Tyler, TX 75701 | 2007-02-28 |
| 1801923701 | Floyd Galloway Betts IIi | Optometrist | 136 Shelley Dr, Tyler, TX 75701-8723 | 2007-02-27 |
| 1679627301 | Eugene Bennett | Optometrist | 4824 S Broadway Ave, Tyler, TX 75703-1312 | 2007-01-22 |
| 1538223532 | Amy A Fisher | Optometrist | 2756 S Broadway Ave., Tyler, TX 75701-5412 | 2006-12-21 |
| 1902982135 | Advanced Eyecare | Optometrist | 1314 Doctors Dr, Tyler, TX 75701-2262 | 2006-10-31 |
| Find all providers in TYLER | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.