DR. JEFFREY JOHN JOHNSON (NPI# 1427107762) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1427107762 |
| Entity Type | Individual |
| Full Name | DR. JEFFREY JOHN JOHNSON |
| Credential | OD |
| Practice Address |
523 E Street Fairbury NE 68352-2323 |
| Mailing Address |
Po Box 405 Fairbury NE 68352-0405 |
| Practice Telephone | 4027296162 |
| Practice Fax Number | 4027296180 |
| Mailing Telephone | 4027296162 |
| Mailing Fax Number | 4027296180 |
| Enumeration Date | 2007-01-09 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 152W00000X | Optometrist | 1094 | NE | Eye and Vision Services Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NE | 47053821401 | 05 | |
| NE | BLUE CROSS BLUE SHIELD | 36757 | 01 |
| DEA | MJ0237633 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114570652 | Jeffrey C. Johnson | Dentist | 250 Route 4 Ste 101, Hagatna, GU 96910-7110 | 2019-07-23 |
| 1144725391 | Jeffrey Phillip Johnson | Speech-Language Pathologist | 635 Commonwealth Ave Rm 326, Boston, MA 02215-1605 | 2018-03-29 |
| 1730684903 | Jeffrey Pace Johnson | Student in an Organized Health Care Education/Training Program | 750 E Adams St Rm 1816, Syracuse, NY 13210-2306 | 2018-03-28 |
| 1992256374 | Jeffrey S. Johnson | Counselor | 108 Okemos St, Mason, MI 48854-1263 | 2016-10-20 |
| 1598156713 | Jeffrey Johnson | Counselor | 3057 Acushnet Ave, New Bedford, MA 02745-3636 | 2015-02-10 |
| 1336542885 | Jeffrey Johnson | Physical Therapy Assistant | 563 S Grant St, Denver, CO 80209-4105 | 2014-09-29 |
| 1992110894 | Jeffrey Johnson | Dentist | 2120 Virginia Dr, Wichita Falls, TX 76309-4646 | 2014-06-30 |
| 1093125916 | Jeffrey William Johnson | Psychologist | 105 High Street, Warren, OH 44483-5195 | 2014-04-30 |
| 1922373851 | Jeffrey A. Johnson | Social Worker | 28 Roe Ln, Howell, NJ 07731-9071 | 2012-03-10 |
| 1962776039 | Jeffrey Johnson | Veterinarian | 1405 Bradford Way, Redding, CA 96003-4074 | 2012-03-06 |
| Street Address |
523 E STREET |
| City | FAIRBURY |
| State | NE |
| Zip Code | 68352-2323 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407905755 | Johnson Family Vision Care PC | Eyewear Supplier (Equipment, not the service) | 523 E Street, Fairbury, NE 68352-2323 | 2007-01-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205908308 | Brenda S Rippe | Case Manager/Care Coordinator | 521 E Street, Fairbury, NE 68352 | 2006-11-14 |
| 1821015884 | Tatro Chiropractic PC | Chiropractor | 425 D St, Fairbury, NE 68352 | 2006-07-16 |
| 1013031178 | Prairie View Industries, Inc. | Durable Medical Equipment & Medical Supplies | 2620 Industrial Drive, Fairbury, NE 68352-0575 | 2007-03-16 |
| 1881611986 | Walmart Inc. | Durable Medical Equipment & Medical Supplies | 2831 Highway 15, Fairbury, NE 68352-1008 | 2006-07-16 |
| 1336748862 | Danielle Nicole Blackburn | Pharmacist | 2831 Highway 15, Fairbury, NE 68352-1008 | 2020-10-26 |
| 1396259560 | Kayla Renee Specht | Pharmacist | 2831 Highway 15, Fairbury, NE 68352-1008 | 2017-11-27 |
| 1710491394 | Michael Gude | Pharmacist | 2831 Highway 15, Fairbury, NE 68352-1008 | 2017-11-19 |
| 1861435448 | Gary Lee Mitchell | Pharmacist | 2200 H St, Fairbury, NE 68352-1119 | 2006-06-13 |
| 1063050532 | Kensly N Williams | Physician Assistant | 2200 H St, Fairbury, NE 68352-1119 | 2019-12-16 |
| 1285141135 | Tyler Maguire | Physician Assistant | 2200 H St, Fairbury, NE 68352-1119 | 2018-01-01 |
| Find all providers in zip 68352 | ||||
| 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 |
|---|---|---|---|---|
| 1770572620 | Mary T Rieger | Optometrist | 2 Aspen Ct, Fairbury, IL 61739-1487 | 2005-10-13 |
| 1144639105 | Fairbury Vision Center LLC | Optometrist | 2 Aspen Ct, Fairbury, IL 61739-1487 | 2014-08-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407457690 | Vision Specialists On Harrison LLC | Optometrist | 6720 S 178th Street, Omaha, NE 68135 | 2020-11-04 |
| 1215545728 | Jobeth Aliece Halling | Optometrist | 720 Union Ave, North Platte, NE 69101-5269 | 2020-07-21 |
| 1225646755 | Aaron Thomas Halling | Optometrist | 1225 S Poplar St Ste 400, North Platte, NE 69101-7785 | 2020-07-21 |
| 1104445410 | Palmer Eye Care PC | Optometrist | 127 S 4th St, Albion, NE 68620-1215 | 2020-04-16 |
| 1922642255 | Daniel & Max, LLC | Optometrist | 4320 N 27th St, Lincoln, NE 68521-4108 | 2019-10-30 |
| 1366085656 | Bright Eyes Optometry, LLC | Optometrist | 6005 Maple St # A, Omaha, NE 68104-4195 | 2019-10-19 |
| 1215579180 | Klute Optometry Services, LLC | Optometrist | 15655 Pacific St Ste 101, Omaha, NE 68118-2114 | 2019-10-12 |
| 1285284273 | Unity Eye Centers Inc | Optometrist | 605 23rd St, Columbus, NE 68601-2767 | 2019-09-12 |
| 1912564212 | Vision Specialists of Omaha LLC | Optometrist | 3606 N 156th Street, Suite 104, Omaha, NE 68116 | 2019-05-22 |
| 1780249011 | Boever Family Eyecare | Optometrist | 5801 Hidcote Dr Suite 101, Lincoln, NE 68516 | 2019-05-02 |
| Find all providers with the same taxonomy | ||||
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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.