JOHNSON VISION DEVELOPMENT CENTER, LLC – NPI #1235401514
Optometrist

Optometrists who work in Pediatrics are concerned with the prevention, development, diagnosis, and treatment of visual problems in children.

Health Care Provider Taxonomy Code for Optometrist

JOHNSON VISION DEVELOPMENT CENTER, LLC is an optometrist located in JACKSON, TN. NPPES has assigned the NPI number 1235401514 to JOHNSON VISION DEVELOPMENT CENTER, LLC on February 02, 2012. It is a Type-2 NPI, indicating this NPI number is associated with an organization. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 152WP0200X from the Health Care Provider Taxonomy code set, which is classified as Optometrist, specializing in Pediatrics

The NPI profile was previously updated about 7 years ago on Sep 25, 2019. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for JOHNSON VISION DEVELOPMENT CENTER, LLC below.

NPI Profile for
JOHNSON VISION DEVELOPMENT CENTER, LLC

NPI Number
1235401514
Enumeration Date

(more than 14 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
JOHNSON VISION DEVELOPMENT CENTER, LLC
Primary location
1012 GREYSTONE SQUARE
JACKSON, TN 38305
Phone: (731) 660-1100 Fax: (731) 660-0688
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
PAULA JOHNSON-WYATT
OWNER/OPTOMETRIST
Phone: (731) 660-1100
Updated
Identifiers

Identifiers for JOHNSON VISION DEVELOPMENT CENTER, LLC

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
MEDICAIDTN5440904
MEDICAIDTNQ028220
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
152WP0200X
- Optometrist / Pediatrics (Primary)
152WV0400X
- Optometrist / Vision Therapy

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.