DR. JAY MICHAEL JOHANSEN (NPI# 1245386267) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1245386267 |
| Entity Type | Individual |
| Full Name | DR. JAY MICHAEL JOHANSEN |
| Credential | OD |
| Practice Address |
14045 Abercorn St Savannah GA 31419-1957 |
| Mailing Address |
1950 Old Gallows Rd Suite 520 Vienna VA 22182-3990 |
| Practice Telephone | 9129250700 |
| Practice Fax Number | 9129251222 |
| Mailing Telephone | 7038478899 |
| Mailing Fax Number | 7039910514 |
| Enumeration Date | 2007-01-25 |
| Last Update Date | 2018-02-16 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 152W00000X | Optometrist | OPT002253 | GA | Eye and Vision Services Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GA | 743071437A | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689609547 | Jay W Johansen | Anesthesiology | 1364 Clifton Rd Ne, Atlanta, GA 30322-1059 | 2006-07-11 |
| Street Address |
14045 ABERCORN ST |
| City | SAVANNAH |
| State | GA |
| Zip Code | 31419-1957 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588278998 | Anthony Leon Prescott | Student in an Organized Health Care Education/Training Program | 14045 Abercorn St, Savannah, GA 31419-1957 | 2020-09-02 |
| 1568806388 | Dwc-sav, LLC | Dentist | 14045 Abercorn St, Suite 2403, Savannah, GA 31419-1957 | 2013-04-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255932653 | Loving Hands Adult Care | Home Health Aide | 101 St. Goerge Blvd, 6t, Savannah, GA 31419 | 2020-11-03 |
| 1285241265 | Jennifer Ann Hales | Surgery | 11090 Mcauley, Suite 100 2a, Savannah, GA 31419 | 2020-09-24 |
| 1699318139 | Jessica Kaitlyn Matthewson | Nurse Practitioner | 11700 Mercy Blvd Plaza D, Bldg #5, Savannah, GA 31419 | 2019-10-28 |
| 1679133219 | Rebecca Denise Brown-tuyishimire | Counselor | Savannah Outpatient Clinic, 1170 Shawnee Street, Savannah, GA 31419 | 2019-06-17 |
| 1356900856 | Julio Roberto Castellanos Jr. | Behavior Technician | 785 King George Blvd Ste 103, Savannah, GA 31419 | 2019-06-07 |
| 1669941761 | Paul-david Arthur Cooper | Peer Specialist | 117 Shawnee Street, Va Savannah Clinic, Savannah, GA 31419 | 2018-11-19 |
| 1326538521 | Jay Carter Jr. | Social Worker | 1170 Shawnee St., Savannah, GA 31419 | 2018-05-14 |
| 1245771070 | Emily Robertson | Nurse Practitioner | 11133 Abercorm Street, Suite 10, Savannah, GA 31419 | 2017-03-13 |
| 1760833750 | Cady-jo Steidle | Behavioral Analyst | 143 Sugar Mill Cir, Savannah, GA 31419 | 2016-06-30 |
| 1265881189 | Mallory Williams | Physician Assistant | 11909 D. Mcauley Drive, Savannah, GA 31419 | 2016-06-10 |
| Find all providers in zip 31419 | ||||
| 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 |
|---|---|---|---|---|
| 1386112167 | Myeyedr Optometry of Georgia, LLC | Optometrist | 7203 Hodgson Memorial Dr Ste A, Savannah, GA 31406-1525 | 2018-11-09 |
| 1659813756 | Nikita Desai | Optometrist | 318 Mall Blvd # 600, Savannah, GA 31406-4797 | 2016-11-07 |
| 1265881627 | Erika Marie Morrow | Optometrist | 350 Martin Luther King Jr Blvd, Savannah, GA 31401-4386 | 2016-06-07 |
| 1659779130 | Daniel, Max & Marcandrea, LLC | Optometrist | 6868 Abercorn St, Savannah, GA 31405-5835 | 2014-12-15 |
| 1811328123 | Jay Jackson Od PC | Optometrist | 5500 Abercorn St Ste 24, 12 Oaks Shopping Center, Savannah, GA 31405-6917 | 2013-12-12 |
| 1427359959 | Coastal Georgia Eyecare, LLC | Optometrist | 1 Diamond Cswy, Suite 21, Savannah, GA 31406-7417 | 2010-11-15 |
| 1598934911 | Lewis Steinfeld | Optometrist | 101 W. Broughton Street, Savannah, GA 31401-3211 | 2008-02-29 |
| 1861619660 | Wm Brent Walker | Optometrist | 3 River Walk, Savannah, GA 31410-1563 | 2007-04-20 |
| 1164549366 | Myeyedr Optometry of Georgia, LLC | Optometrist | 14045 Abercorn St Ste 31, Savannah Mall, Savannah, GA 31419-1978 | 2007-03-23 |
| 1831233279 | Nancy Elizabeth Gresham | Optometrist | 7810 Abercorn St, Sears Optical, Savannah, GA 31406-2440 | 2007-02-19 |
| Find all providers in SAVANNAH | ||||
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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.