STEPHANIE R. JOHNSON (NPI# 1992843007) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1992843007 |
| Entity Type | Individual |
| Full Name | STEPHANIE R. JOHNSON |
| Credential | O.D. |
| Practice Address |
5401 S Wentworth Ave Ste 14b Chicago IL 60609-6300 |
| Practice Telephone | 7739245292 |
| Practice Fax Number | 7733733548 |
| Mailing Telephone | 7739245292 |
| Mailing Fax Number | 7733733548 |
| Enumeration Date | 2007-02-01 |
| Last Update Date | 2019-01-18 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 152W00000X | Optometrist | 46-7055 | IL | Eye and Vision Services Providers |
| Y | 152WV0400X |
Optometrist Specialization: Vision Therapy |
046007055 | IL | Eye and Vision Services Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IL | 0046007055 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982214466 | Stephanie Suzanne Johnson | Nurse Practitioner | 3304 Tyler Ct, Lexington, KY 40509-1876 | 2020-08-09 |
| 1679108567 | Stephanie Johnson | Licensed Practical Nurse | 72 Norman St, East Orange, NJ 07017-3415 | 2020-03-11 |
| 1427681139 | Stephanie L Johnson | Counselor | 1325 S Colorado Blvd # B-108, Denver, CO 80222-3303 | 2020-02-20 |
| 1558992792 | Stephanie Jo Johnson | Nurse Practitioner | 106 Riggs Blvd, Bardstown, KY 40004-8067 | 2020-01-27 |
| 1487284485 | Stephanie Johnson | Assistant Behavior Analyst | 1641 Topeka Cir, Sparks, NV 89434-8866 | 2020-01-19 |
| 1841844685 | Stephanie Ann Johnson | Student in an Organized Health Care Education/Training Program | Texas Tech University Health Sciences Center, 3600 N. Garfield, Midland, TX 79705 | 2019-07-30 |
| 1902466055 | Stephanie Aull Johnson | Occupational Therapy Assistant | 4611 Hard Scrabble Rd Ste 312, Columbia, SC 29229-8584 | 2019-06-19 |
| 1992268106 | Stephanie Marin Johnson | Counselor | 1611 Railroad St, Dayton, TN 37321-1044 | 2019-04-13 |
| 1710448477 | Stephanie Charisse Johnson | Counselor | 802 Eston St, Camarillo, CA 93010-4810 | 2019-03-26 |
| 1144784265 | Stephanie Dawn-marie Johnson | Midwife | 3 Maybrook St, Dorchester, MA 02121-4116 | 2019-01-23 |
| Street Address |
5401 S WENTWORTH AVE STE 14B |
| City | CHICAGO |
| State | IL |
| Zip Code | 60609-6300 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710106299 | Plano Optometrics Ltd | Optometrist | 5401 S Wentworth Ave Ste 14b, Chicago, IL 60609-6300 | 2007-04-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144843152 | Healing and Fuerza Therapy LLC | Clinic/Center | 3735 S Wallace St 1r, Chicago, IL 60609 | 2020-05-26 |
| 1306407721 | Athletico Ltd | Physical Therapist | 5336 S State St, Chicago, IL 60609 | 2019-06-26 |
| 1396157939 | Unlimited Resources | Private Vehicle | 8104 S. Kingston, Chicago, IL 60609 | 2014-06-02 |
| 1013215474 | Giles B. Mizock M.d. Ltd. | Obstetrics & Gynecology | 5025 W. Paulina, Methodist Hosp, Chicago, IL 60609 | 2011-03-09 |
| 1164691630 | Alfreda D Beard | Dentist | 5050 So State, Chicago, IL 60609 | 2008-02-28 |
| 1588876510 | Victor P Gutierrez | Chiropractor | 1824 W. 47th St., Chicago, IL 60609 | 2007-05-03 |
| 1619092558 | Highlander Care Center, LLC | Skilled Nursing Facility | 4815 S Western Ave, Chicago, IL 60609 | 2007-03-20 |
| 1437295482 | Rolando A Lara | Internal Medicine | 1708 W 47th St, Chicago, IL 60609 | 2007-01-29 |
| 1497765168 | Judith H Mcdevitt | Nurse Practitioner | 734 W. 47th Street, Ihc South, Chicago, IL 60609 | 2006-08-08 |
| 1790795474 | Lorrita Marie Verhey | Nurse Practitioner | 734 W. 47th Street South, Ihc, Chicago, IL 60609 | 2006-08-08 |
| Find all providers in zip 60609 | ||||
| Taxonomy Code | 152WV0400X |
| Grouping | Eye and Vision Services Providers |
| Classification | Optometrist |
| Specialization | Vision Therapy |
| Optometrists who specialize in vision therapy as a treatment process used to improve vision function. It includes a broad range of developmental and rehabilitative treatment programs individually prescribed to remediate specific sensory, motor and/or visual perceptual dysfunctions. |
| Notes: Source: American Optometric Association [1/1/2009: added definition, added source] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962639781 | Plano Child Development Center | Optometrist | 5401 S Wentworth Ave Ste 14a, Chicago, IL 60609-6300 | 2009-06-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932352994 | Developmental Vision Center | Optometrist | 2075 Wiesbrook Rd, Oswego, IL 60543-8312 | 2008-11-03 |
| 1043495179 | Christine D Clark | Optometrist | 221 Woodland Ave, Bloomington, IL 61701-5659 | 2008-01-08 |
| 1881812162 | Dr Neil W Margolis Od PC | Optometrist | 3250 N. Arlington Heights Rd, Suite 109, Arlington Heights, IL 60004-1534 | 2007-04-23 |
| 1821196114 | Jeffrey H. Getzell | Optometrist | 1740 N. Ridge Ave., Ste. 100-b, Evanston, IL 60201-5918 | 2006-09-20 |
| 1750330411 | Vision Salon Eye Care Associates | Optometrist | 13046 Western Ave, Blue Island, IL 60406-2419 | 2006-05-09 |
| 1851741714 | Brain-eye Evolution At 730 North | Optometrist | 730 N Milwaukee Ave, Libertyville, IL 60048-1914 | 2016-06-21 |
| 1760849681 | Dynamic Center for Vision Therapy, P.C. | Optometrist | 1891 Bay Scott Cir, Suite 109, Naperville, IL 60540-1137 | 2016-01-22 |
| 1851786214 | Vision Development and Rehabilitation Consultants LLC | Optometrist | 360 S Waukegan Rd, Suite A2, Deerfield, IL 60015-5653 | 2015-04-02 |
| 1982982385 | Clarendon Vision Development Center | Optometrist | 103 Ogden Ave, Clarendon Hills, IL 60514-1027 | 2011-08-02 |
| 1912209768 | Family Vision Therapy PC | Optometrist | 444 N Eola Rd, #105, Aurora, IL 60502-9615 | 2010-11-30 |
| 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.