DR. JAY D. JOHNSON (NPI# 1104970052) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104970052 |
| Entity Type | Individual |
| Full Name | DR. JAY D. JOHNSON |
| Credential | OD |
| Practice Address |
1120 Rambling Oaks Drive Norman OK 73072 |
| Practice Telephone | 4057014114 |
| Practice Fax Number | 4058013689 |
| Mailing Telephone | 4057014114 |
| Mailing Fax Number | 4058013689 |
| Enumeration Date | 2007-01-22 |
| Last Update Date | 2016-10-31 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 152W00000X | Optometrist | 1085 | OK | Eye and Vision Services Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OK | 200083870B | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265626006 | Jay Thomas Johnson | Emergency Medicine | 642 S 2nd St, Apt 1003, Louisville, KY 40202-2433 | 2007-09-05 |
| 1457570319 | Jay A Johnson | Dentist | 3220 North Bronco St, Suite 102, Las Vegas, NV 89108-4863 | 2007-04-25 |
| 1851302210 | Jay B Johnson | Dentist | 7520 Bierstadt Hts, Suite 125, Peyton, CO 80831-6174 | 2006-08-11 |
| 1043224264 | Jay Kevin Johnson | Psychiatry & Neurology | 7134 S Yale Ave Ste 450, Tulsa, OK 74136-6380 | 2006-07-27 |
| 1457952913 | Jay Kimberly Johnson | Pharmacist | 221 W Parrish Ln, Centerville, UT 84014-1829 | 2020-11-02 |
| 1053939652 | Jay Johnson | Behavior Technician | 4952 Warner Ave Ste 300, Huntington Beach, CA 92649-5506 | 2020-07-09 |
| 1205251709 | Jay Johnson | Registered Nurse | 6400 Uptown Blvd Ne, Ste 360w, Albuquerque, NM 87110-4204 | 2014-02-20 |
| 1679760219 | Jay W Johnson | Chiropractor | 1208 Washington Ave, Detroit Lakes, MN 56501-3906 | 2007-09-27 |
| 1932308418 | Jay K Johnson | Physician Assistant | 200 1st St Sw, Rochester, MN 55905-0001 | 2007-07-13 |
| 1083837116 | Jay Johnson | Physical Therapist | 14301 S Golden Oak Dr, Homer Glen, IL 60491-9696 | 2007-04-10 |
| Street Address |
1120 RAMBLING OAKS DRIVE |
| City | NORMAN |
| State | OK |
| Zip Code | 73072 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346464955 | Dr. Jay D. Johnson, Optometrist, Plc | Optometrist | 1120 Rambling Oaks Drive, Norman, OK 73072 | 2007-04-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326684630 | Summer Crawford | Nurse Practitioner | 2080 Ok-9, Norman, OK 73072 | 2019-11-21 |
| 1962054882 | Jayme Provine | Registered Nurse | 3300 Healthplex Parkway, Lactation Dept, Norman, OK 73072 | 2019-07-11 |
| 1811556186 | Elizabeth Moore | Behavioral Analyst | 2240 36th Ave Nw, Suite 100, Norman, OK 73072 | 2019-06-11 |
| 1861950735 | Michelle Kathleen Spehr | Nurse Practitioner | 3231 Healthplex Dr., Norman, OK 73072 | 2019-03-08 |
| 1801384953 | Serena Browning | Registered Nurse | 3913 Ripple Ave, Norman, OK 73072 | 2018-04-24 |
| 1508363771 | Dental Depot of 36th & Tecumseh, Pllc | Dentist | 3401 W. Tecumseh Rd., Norman, OK 73072 | 2018-04-12 |
| 1396274809 | Balance Hormone Center | Physician Assistant | 3351 W. Rock Creek Rd Ste 100, Norman, OK 73072 | 2017-06-08 |
| 1174060792 | Rebekah Karnes | Nurse Practitioner | 2120 Mckown Dr Ste B, Norman, OK 73072 | 2017-01-20 |
| 1881139319 | Heritage Dental Group LLC | Dentist | 3600 W Tecumseh Rd, Norman, OK 73072 | 2016-12-19 |
| 1043699150 | Alan Jay Washington | Social Worker | 3200 Marshall Ave. Outpatient Services-norman, Suite 220 Strong Family Development, Norman, OK 73072 | 2015-05-21 |
| Find all providers in zip 73072 | ||||
| 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 |
|---|---|---|---|---|
| 1326470535 | Hoa Hong Nu Vu | Optometrist | 3332 W Main St, Norman, OK 73072-4805 | 2013-07-30 |
| 1245543446 | Scott B Mendell | Optometrist | 630 24th Ave Sw, Norman, OK 73069-3913 | 2010-07-16 |
| 1629398128 | Pettigrew Eyecare LLC | Optometrist | 111 24th Ave Nw, Suite 120, Norman, OK 73069-6388 | 2010-06-07 |
| 1235390907 | Jeremy David King | Optometrist | 15702 East Highway 9, Norman, OK 73026 | 2008-06-24 |
| 1710162136 | Arthur Kevin Young Eyecare Center Inc. | Optometrist | 1220 E Robinson St, Norman, OK 73071-3602 | 2008-01-03 |
| 1679769988 | Ocean Dental, P.C. | Optometrist | 500 N. Main, Suite 200, Norman, OK 73069-7061 | 2007-09-20 |
| 1548452899 | Forrest W Shed | Optometrist | 4405 Warrington Way, Norman, OK 73072 | 2007-08-10 |
| 1619177805 | Wesley Alan Hall | Optometrist | 2109 Iowa St, Norman, OK 73069-6518 | 2007-07-25 |
| 1750406997 | Butcher Optical II, PC | Optometrist | 1369 24th Ave Nw, Norman, OK 73069-6495 | 2007-03-20 |
| 1497894844 | Jeffrey Lynn Pettigrew | Optometrist | 114 36th Ave Nw, Suite 120, Norman, OK 73072-4812 | 2007-02-05 |
| Find all providers in NORMAN | ||||
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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.