DR. KARA DURICK JOHNSON (NPI# 1710079892) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1710079892 |
| Entity Type | Individual |
| Full Name | DR. KARA DURICK JOHNSON |
| Credential | OD |
| Practice Address |
12771 Riverdale Blvd Nw Suite 103 Coon Rapids MN 55448-1262 |
| Practice Telephone | 7634211220 |
| Practice Fax Number | 7634211291 |
| Mailing Telephone | 7634211220 |
| Mailing Fax Number | 7634211291 |
| Enumeration Date | 2006-09-28 |
| Last Update Date | 2014-05-28 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 152W00000X | Optometrist | 2732 | MN | Eye and Vision Services Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MN | PREFERRED ONE | 847271021774 | 01 |
| MN | BLUE CROSS BLUE SHIELD | 04S60DU | 01 |
| MN | EYEMED | 30187 | 01 |
| MN | MN CARE | 005323600 | 01 |
| MN | MEDICA | 2200840 | 01 |
| MN | MEDICA | 2200839 | 01 |
| MN | PREFERRED ONE | 921871021774 | 01 |
| MN | UCARE | 131053 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215336763 | Kara Johnson | Speech-Language Pathologist | 5733 127th Ave Se, Snohomish, WA 98290-9405 | 2014-08-21 |
| 1821339367 | Kara M Johnson | Licensed Practical Nurse | 735 Gordon Smith Blvd, Apt 4, Hamilton, OH 45013-5262 | 2013-03-08 |
| 1164569265 | Kara Lynn Johnson | Case Manager/Care Coordinator | 1150 Route 54 West, Clinton, IL 61727 | 2007-01-30 |
| 1134164981 | Kara Lemmon Johnson | Dentist | 915 Gerald St, Jackson, MO 63755-2655 | 2006-06-17 |
| 1730792128 | Kara Shelby Firth Johnson | Nurse Practitioner | 2501 Parkers Ln, Alexandria, VA 22306-3209 | 2020-08-26 |
| 1396370755 | Kara Johnson | Physical Therapist | 6360 S 3000 E Ste 210, Cottonwood Heights, UT 84121-6972 | 2020-03-05 |
| 1528625274 | Kara Anne Johnson | Psychologist | 121 S Madison St Ste C, Denver, CO 80209-3019 | 2019-05-28 |
| 1497257810 | Kara Elyse Johnson | Health Educator | 40 W Long St, Columbus, OH 43215-2817 | 2018-03-01 |
| 1821471822 | Kara J. Johnson | Physician Assistant | 1215 Duff Ave, Ames, IA 50010-5400 | 2015-07-08 |
| 1851778088 | Kara Montgomery Johnson | Marriage & Family Therapist | 3931 Louisiana Ave S, Frauenshuh Cancer Center, St Louis Park, MN 55426-5000 | 2015-04-27 |
| Street Address |
12771 RIVERDALE BLVD NW SUITE 103 |
| City | COON RAPIDS |
| State | MN |
| Zip Code | 55448-1262 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609292077 | Jd Eyes, Inc | Optometrist | 12771 Riverdale Blvd Nw, Suite 103, Coon Rapids, MN 55448-1262 | 2014-03-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447741152 | Modern Sisters Home Healthcare | Home Health | 1852 131st Ln Nw, Coon Rapids, MN 55448 | 2018-05-29 |
| 1003345463 | Sarah Benepe | Occupational Therapy Assistant | 764 107th Ln Nw, Coon Rapids, MN 55448 | 2017-06-08 |
| 1700310299 | Orthodontics Specialist of Minnesota P.l.l.c. | Dentist | 3360 Northdale Blvd Nw, Coon Rapids, MN 55448 | 2017-04-12 |
| 1528459906 | Shane R Fisher | Registered Nurse | 10077 Dogwood St. Nw, Suite 110, Minneapolis, MN 55448 | 2015-02-06 |
| 1912395419 | Mn Dentistry, PC | Dentist | 3570 River Rapids Drive Nw, Ste 110, Coor Rapids, MN 55448 | 2015-01-06 |
| 1215297536 | Daniel Beau Ryan Ellis | Chiropractor | 9 125 Lane Nw, Coon Rapids, MN 55448 | 2012-05-21 |
| 1306142344 | At Home Health Care Inc. | Home Health | 1601 128th Lane Nw, Coon Rapids, MN 55448 | 2011-02-09 |
| 1245428317 | Cassandra Joice Carney | Massage Therapist | 8770 Springbrook Dr Nw, Coon Rapids, MN 55448 | 2007-10-14 |
| 1982826434 | Merry Heart Home Care Inc | Home Health | 3248 131st Avenue Nw, Coon Rapids, MN 55448 | 2007-05-03 |
| 1659416196 | James T Sturm | Emergency Medicine | 10160 Foley Blvd Nw Ste 120, Coon Rapids, MN 55448 | 2007-02-21 |
| Find all providers in zip 55448 | ||||
| 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 |
|---|---|---|---|---|
| 1235642513 | Vista Family Eye Care LLC | Optometrist | 9920 Foley Blvd Nw Ste 120, Coon Rapids, MN 55433 | 2017-11-09 |
| 1588790729 | Chad David Kalil | Optometrist | 3777 Coon Rapids Boulevard, Suite 100, Coon Rapids, MN 55433 | 2007-02-24 |
| 1871629170 | Timothy Steven Johnson | Optometrist | 12771 Riverdale Blvd Nw Ste 103, Coon Rapids, MN 55448-1263 | 2007-02-23 |
| 1922038926 | Timothy Eggimann | Optometrist | 3777 Coon Rapids Blvd Nw Ste 100, Coon Rapids, MN 55433-2630 | 2006-07-04 |
| 1164424370 | Robert Dodge | Optometrist | 12737 Riverdale Blvd Nw, Coon Rapids, MN 55448-1253 | 2005-06-01 |
| 1760968895 | Margaret Mary Shipitalo | Optometrist | 3777 Coon Rapids Blvd Nw Ste 100, Coon Rapids, MN 55433-2630 | 2018-07-11 |
| 1568873123 | Becky Yeung | Optometrist | 3777 Coon Rapids Blvd Nw, Suite 100, Coon Rapids, MN 55433-2630 | 2014-05-16 |
| 1609292077 | Jd Eyes, Inc | Optometrist | 12771 Riverdale Blvd Nw, Suite 103, Coon Rapids, MN 55448-1262 | 2014-03-10 |
| 1285918268 | Paul Chadima Hammond | Optometrist | 3777 Coon Rapids Blvd Nw, Suite 100, Coon Rapids, MN 55433-2630 | 2011-10-07 |
| 1891924304 | Marlene Kluss | Optometrist | 3777 Coon Rapids Blvd Nw, Suite 100, Coon Rapids, MN 55433 | 2009-07-06 |
| Find all providers in COON RAPIDS | ||||
| City | COON RAPIDS |
| Zip Code | 55448 |
Please comment or provide details below to improve the information on DR. KARA DURICK JOHNSON.
| 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.