AMELIA M JOHNSON (NPI# 1023099512) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1023099512 |
| Entity Type | Individual |
| Full Name | AMELIA M JOHNSON |
| Credential | DPO |
| Practice Address |
25 N Main St Suite A Sparta TN 38583-2055 |
| Practice Telephone | 9318362235 |
| Practice Fax Number | 9318363036 |
| Mailing Telephone | 9318362235 |
| Mailing Fax Number | 9318363036 |
| Enumeration Date | 2005-11-10 |
| Last Update Date | 2007-07-09 |
| Gender Code | F |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 156FX1800X |
Technician/Technologist Specialization: Optician |
DPO1192 | TN | Eye and Vision Services Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TN | BLUE CROSS BLUE SHIELD | 4073352 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649891102 | Amelia Johnson | Counselor | 5230 S 6th Street Rd, Springfield, IL 62703-5128 | 2020-05-06 |
| 1235778580 | Amelia Johnson | Counselor | 12715 Telge Rd, Cypress, TX 77429-2289 | 2020-01-04 |
| 1720574940 | Amelia Marie Johnson | Nurse Practitioner | 135 North Road, Wilton Family Medicine, Wilton, NY 12831-1308 | 2018-07-11 |
| 1962755801 | Amelia H Johnson | Physician Assistant | 300 N Graham St Ste 125, Portland, OR 97227-1683 | 2012-10-16 |
| 1275889271 | Amelia Johnson | Community Health Worker | 500 Hancock St, Saginaw, MI 48602-4224 | 2012-07-27 |
| 1043475577 | Amelia Barron Johnson | Counselor | 2505 Court Dr, Gastonia, NC 28054-2140 | 2008-07-24 |
| Street Address |
25 N MAIN ST SUITE A |
| City | SPARTA |
| State | TN |
| Zip Code | 38583-2055 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477860708 | Amanda J Kirk | Optometrist | 25 N Main St, Sparta, TN 38583-2055 | 2010-09-08 |
| 1932363207 | Mooreeyes, LLC | Optometrist | 25 N Main St, Sparta, TN 38583-2063 | 2008-07-15 |
| 1770745879 | Shannon Franklin Shelley | Optometrist | 25 N Main St, Sparta, TN 38583-2063 | 2008-06-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538769047 | Results-ast Jv, LLC | Physical Therapist | 421 Sewell Road, Sparta, TN 38583 | 2020-10-26 |
| 1588282917 | Rock House Medical Supply, LLC | Durable Medical Equipment & Medical Supplies | 25 N Spring St, Sparta, TN 38583 | 2020-07-13 |
| 1881215333 | Nancy Marie Rutherford | Physical Therapist | 421 Sewell Drive, Sparta, TN 38583 | 2020-05-06 |
| 1942798210 | Oscar Dale Sims | Pharmacist | 202 Sam Walton Drive, Sparta, TN 38583 | 2018-04-23 |
| 1932622644 | Medicherla Shyam Sunder Kumar | Internal Medicine | 401 Sewell Road, Sparta, TN 38583 | 2017-07-25 |
| 1972852341 | Jtp Enterprises, LLC | Clinic/Center | 287 Turntable Rd., Sparta, TN 38583 | 2012-08-31 |
| 1154619898 | Abbie Howell | Pharmacist | 460 West Bockman Way, Sparta, TN 38583 | 2011-07-15 |
| 1164556759 | Leslie Ann Reagan | Pharmacist | 207 West Town Plaza, Sparta, TN 38583 | 2007-03-15 |
| 1497809875 | Waymon Haston | Dentist | 9-a Hampton Drive, Sparta, TN 38583 | 2007-01-22 |
| 1407920127 | Jeffry Alan Belknap | Internal Medicine | 809 W Bockman Way, Sparta, TN 38583 | 2006-11-17 |
| Find all providers in zip 38583 | ||||
| Taxonomy Code | 156FX1800X |
| Grouping | Eye and Vision Services Providers |
| Classification | Technician/Technologist |
| Specialization | Optician |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427130673 | Wal-mart Stores East, Lp | Technician/Technologist | 202 Sam Walton Dr, Sparta, TN 38583-8810 | 2006-10-19 |
| 1952482788 | Wal-mart Stores East, Lp | Technician/Technologist | 1600 W Wisconsin St, Sparta, WI 54656-2242 | 2006-10-18 |
| 1457432452 | Wal-mart Stores, Inc | Technician/Technologist | 1410 N Market St, Sparta, IL 62286-2302 | 2006-10-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164072575 | Rebecca Lee Redmond | Technician/Technologist | 40 Carroll St, Mc Kenzie, TN 38201-1736 | 2019-09-17 |
| 1932661758 | Miws, LLC | Technician/Technologist | 1110 Market St Ste 113, Chattanooga, TN 37402-2894 | 2019-04-01 |
| 1780157925 | Eye Centers of Tennessee, LLC | Technician/Technologist | 46 W Broad St, Cookeville, TN 38501-2572 | 2019-01-10 |
| 1831661206 | Eye Centers of Tennessee, LLC | Technician/Technologist | 8401 Tn-111, Byrdstown, TN 38549 | 2018-12-26 |
| 1952853947 | National Vision, Inc. | Technician/Technologist | 6634 Clinton Hwy, Ste 103, Knoxville, TN 37912-1016 | 2016-10-26 |
| 1548713100 | National Vision, Inc. | Technician/Technologist | 1993 Old Fort Pkwy, Murfreesboro, TN 37129 | 2016-08-01 |
| 1720531999 | National Vision, Inc. | Technician/Technologist | 2884 Wilma Rudolph Blvd, Clarksville, TN 37040-5001 | 2016-07-25 |
| 1407202799 | National Vision, Inc. | Technician/Technologist | 1785 Gallatin Pike N, Madison, TN 37115 | 2016-05-05 |
| 1275988214 | National Vision, Inc. | Technician/Technologist | 165 N Peters Rd, Knoxville, TN 37923-4908 | 2016-04-27 |
| 1710332762 | National Vision, Inc. | Technician/Technologist | 4300 Summer Ave, Suite 101, Memphis, TN 38122-4000 | 2016-04-27 |
| 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.