DR. GABRIEL JAY JOHNSON (NPI# 1972631752) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1972631752 |
| Entity Type | Individual |
| Full Name | DR. GABRIEL JAY JOHNSON |
| Credential | O.D. |
| Practice Address |
300 Lycoming Mall Cir Suite 264 Pennsdale PA 17756-8072 |
| Mailing Address |
918 W 4th St Apt. 1e Williamsport PA 17701-5804 |
| Practice Telephone | 5705468315 |
| Practice Fax Number | 5705460312 |
| Mailing Telephone | 4842137757 |
| Enumeration Date | 2007-03-01 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 152W00000X | Optometrist | OEG001770 | PA | Eye and Vision Services Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PA | EYEMED | PA1770 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124578331 | Gabriel Johnson | Physician Assistant | 1601 Clint Moore Rd, Suite 155, Boca Raton, FL 33487-2768 | 2016-10-12 |
| 1275938680 | Gabriel David Johnson | Family Medicine | 315 N Washington St, Viborg, SD 57070-2002 | 2014-10-28 |
| 1609138304 | Gabriel D Johnson | Hospitalist | 700 S Park St, Madison, WI 53715-1830 | 2012-06-09 |
| 1558523878 | Gabriel Hayden Johnson | Radiology | 1008 Minnequa Ave, Pueblo, CO 81004-3733 | 2008-06-27 |
| 1770759870 | Gabriel Lee Johnson | Counselor | 760 West Mountain View Street, Altadena, CA 91350 | 2008-05-08 |
| Street Address |
300 LYCOMING MALL CIR SUITE 264 |
| City | PENNSDALE |
| State | PA |
| Zip Code | 17756-8072 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144377086 | Luxottica Retail North America Inc | Eyewear Supplier (Equipment, not the service) | 300 Lycoming Mall Cir, Ste #100, Pennsdale, PA 17756-8072 | 2007-01-04 |
| 1437692886 | West Point Optical | Optometrist | 300 Lycoming Mall Cir, 264, Pennsdale, PA 17756-8072 | 2016-12-02 |
| 1710041967 | Luxottica Retail North America Inc | Eyewear Supplier (Equipment, not the service) | 300 Lycoming Mall Cir, Lycoming Mall Cir Ste #264, Pennsdale, PA 17756-8072 | 2006-12-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558830653 | Jeff Minor | Pharmacist | 1271 E Penn St, Muncy, PA 17756 | 2018-11-19 |
| 1730661422 | Erika E Mabus Od PC | Optometrist | 2214 Pa-405, Muncy, PA 17756 | 2018-08-30 |
| 1649672833 | Bethany Lauren Stroup | Occupational Therapist | 215 E. Water St., Genesis Rehabilitation Services, Susquehanna Health, Muncy, PA 17756 | 2014-09-19 |
| 1861826430 | Brian D Shiptoski | Nurse Practitioner | 6454 Rt 405 Hwy, Sci-muncy, Muncy, PA 17756 | 2013-08-30 |
| 1770741894 | Families United Network Inc | Foster Care Agency | 276 Ashler Manor Drive, Pennsdale, PA 17756 | 2008-05-27 |
| 1578674826 | Harrison Gooderham Mccormick | Social Worker | 1881 Bitler Hill Road, Muncy, PA 17756 | 2006-08-31 |
| 1316908742 | Anita Nagpal | Physician Assistant | 604 Fox Hollow Circle, Muncy, PA 17756 | 2006-03-28 |
| 1578546685 | Hamptons Chiropractic Inc | Chiropractor | 2848 Route 405 Highway, Muncy, PA 17756 | 2005-11-22 |
| 1699111229 | Rose A. Trevouledes | Dietitian, Registered | 10 Shady Lane, Suite 202, Muncy, PA 17756 | 2013-05-22 |
| 1083615538 | Melinda A Mckee | Chiropractor | 18 N Washington St, Muncy, PA 17756-1111 | 2005-08-09 |
| Find all providers in zip 17756 | ||||
| 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 |
|---|---|---|---|---|
| 1427418920 | Gamuzza Inc | Optometrist | 300 Lycoming Mall Cir Ste 264, Pennsdale, PA 17756-8081 | 2016-02-26 |
| 1437692886 | West Point Optical | Optometrist | 300 Lycoming Mall Cir, 264, Pennsdale, PA 17756-8072 | 2016-12-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548861800 | Shevanie Latchmi Jallim | Optometrist | 3714 Nazareth Rd # 4, Easton, PA 18045-8357 | 2020-11-03 |
| 1700485513 | Warren General Hospital | Optometrist | 103 W Saint Clair St Rm 1a, Warren, PA 16365-2187 | 2020-10-22 |
| 1356940449 | Sunish Singh | Optometrist | 51 Indigo Rd, Levittown, PA 19057-2718 | 2020-10-20 |
| 1306445408 | Susan Ross Od Professional Corp | Optometrist | 128 W 12th St Ste 201, Erie, PA 16501-1750 | 2020-10-20 |
| 1528665049 | Melissa Ann Sy Rivera | Optometrist | 503 Bullock St, Conshohocken, PA 19428-2807 | 2020-10-07 |
| 1912504846 | National Vision Inc | Optometrist | 1025 Village Center Dr Ste 1, Tarentum, PA 15084-3840 | 2020-10-05 |
| 1649883265 | Iana Volodarsky | Optometrist | 950 Industrial Blvd Ste 3, Southampton, PA 18966-4070 | 2020-08-24 |
| 1023627031 | Monica Rose Theroux | Optometrist | 82 Mcclellandtown Rd, Uniontown, PA 15401-5522 | 2020-07-26 |
| 1316555949 | Robert L Naugle IIi | Optometrist | 130 Spruce Ct, Pittsburgh, PA 15229-2133 | 2020-07-20 |
| 1043828049 | Progressive Vision Institute of Allentown, PC | Optometrist | 6465 Village Ln Ste 10, Macungie, PA 18062-8474 | 2020-07-16 |
| 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.