DR. GEORGE KENNETH JOHNSON (NPI# 1336130772) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1336130772 |
| Entity Type | Individual |
| Full Name | DR. GEORGE KENNETH JOHNSON |
| Credential | O.D. |
| Practice Address |
4025 W Bell Rd Suite 10 Phoenix AZ 85053-2750 |
| Practice Telephone | 6029784025 |
| Practice Fax Number | 6028437101 |
| Mailing Telephone | 6029784025 |
| Mailing Fax Number | 6028437101 |
| Enumeration Date | 2005-11-03 |
| Last Update Date | 2008-08-27 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 152W00000X | Optometrist | 117 | AZ | Eye and Vision Services Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AZ | BLUE CROSS BLUE SHIELD | AZ0901370 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396241790 | George Mitchel Johnson | Licensed Vocational Nurse | 2705 Tanglewood Dr, Lancaster, TX 75134-2042 | 2018-04-04 |
| 1780194472 | George S Johnson | Home Health | 543 Albrough Blvd, Colonial Beach, VA 22443-3601 | 2017-10-07 |
| 1265760482 | George Reginald Johnson | Contractor | 194 Midway Estates Dr, Terry, MS 39170-8488 | 2009-11-29 |
| 1144475187 | George A Johnson | Counselor | 235 Butterfield Ln, Fayetteville, GA 30214-3683 | 2008-11-18 |
| 1548448194 | George Howell Johnson Sr. | Internal Medicine | 5207 Desel Drive, Dickinson, TX 77539-6577 | 2008-02-06 |
| 1215085634 | George Gary Johnson | Chiropractor | 270 S. Collins Road, Ste. 200, Sunnyvale, TX 75182-4625 | 2007-01-08 |
| 1457464455 | George Jerome Johnson Jr. | Dentist | 2420 South 51st Court, Suite A, Fort Smith, AR 72903 | 2006-08-16 |
| 1487681623 | George Howell Johnson Jr. | Dentist | 2108 Fm 517 Rd E, George H Johnson Jr Dds Fagd, Dickinson, TX 77539-8659 | 2006-06-26 |
| 1124027164 | George William Johnson Jr. | Surgery | 3333 Colorado Blvd, Denton, TX 76210-6817 | 2005-07-20 |
| 1043874225 | George Michael Johnson | Student in an Organized Health Care Education/Training Program | 2080 Child St, Jacksonville, FL 32214-5005 | 2019-04-23 |
| Street Address |
4025 W BELL RD SUITE 10 |
| City | PHOENIX |
| State | AZ |
| Zip Code | 85053-2750 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841650488 | Peggy Susan Stansbury | Dental Assistant | 4025 W Bell Rd, Suite 9, Phoenix, AZ 85053-2750 | 2016-02-24 |
| 1538528922 | North Valley Center for Oral and Implant Surgery | Dental Assistant | 4025 W Bell Rd, Phoenix, AZ 85053-2750 | 2016-02-15 |
| 1831450212 | Community Connections, LLC | Community/Behavioral Health | 4025 W Bell Rd, Suite #6, Phoenix, AZ 85053-2750 | 2012-06-02 |
| 1255654422 | Gilkey Dental | Dentist | 4025 W Bell Rd, Suite 14, Phoenix, AZ 85053-2750 | 2010-03-02 |
| 1154568095 | Clark L Jones | Dentist | 4025 W Bell Rd, Suite #5, Phoenix, AZ 85053-2750 | 2009-01-14 |
| 1710133004 | North Valley Center for Oral and Implant Surgery, P.C. | Dentist | 4025 W Bell Rd, Suite 9, Phoenix, AZ 85053-2750 | 2008-08-18 |
| 1649437294 | Bonny Wager Tabah | Dietitian, Registered | 4025 W Bell Rd, Suite 6, Phoenix, AZ 85053-2750 | 2008-05-21 |
| 1083886113 | George K. Johnson, O.d., P.C. | Optometrist | 4025 W Bell Rd, Suite 10, Phoenix, AZ 85053-2750 | 2008-03-28 |
| 1992976658 | Wayne Oliver Baldon | Dentist | 4025 W Bell Rd, Suite 1 B, Phoenix, AZ 85053-2750 | 2008-03-20 |
| 1841461126 | Desert Sun Endodontics | Dentist | 4025 W Bell Rd, Suite #11, Phoenix, AZ 85053-2750 | 2008-03-14 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871065615 | Valley Addiction & Mental Health Services LLC | Nurse Practitioner | 16845 N. 29th Ave, Ste 1-211, Phoenix, AZ 85053 | 2018-12-18 |
| 1417439100 | Amanda M Sherwin | Dietitian, Registered | 15640 N 28h Drive, Phoenix, AZ 85053 | 2018-08-30 |
| 1568970135 | Sage Counseling, Inc. | Community/Behavioral Health | 2734 W Bell Rd., #1385 & 1390, Phoenix, AZ 85053 | 2018-01-17 |
| 1366966434 | Penny L Reamer | Registered Nurse | 17624 N. 31st Ave., Phoenix, AZ 85053 | 2017-08-01 |
| 1043749302 | Jacob Stephen Lawrence | Occupational Therapy Assistant | 3116 W. Hartford Dr., Phoenix, AZ 85053 | 2017-06-08 |
| 1770022923 | Horizon Dental Group West Valley | Dentist | 4025 W. Bell Road, Suite 20, Phoenix, AZ 85053 | 2017-02-21 |
| 1235594938 | Linda Thi Trinh | Optometrist | 16020 North 35th Ave Suite #2, Phoenix, AZ 85053 | 2015-12-22 |
| 1003230301 | Continuum Group West, LLC. | Clinic/Center | 3710 W Greenway Rd, Suite 104, Phoenix, AZ 85053 | 2014-02-07 |
| 1831539410 | Michelle Lea Byers | Nurse Practitioner | 17624 North 31st Ave, Phoenix, AZ 85053 | 2013-06-27 |
| 1437446580 | Candace Faith Gershkovich | Dentist | 4235 W. Thunderbird Rd, Phoenix, AZ 85053 | 2011-07-08 |
| Find all providers in zip 85053 | ||||
| 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 |
|---|---|---|---|---|
| 1689283830 | Kelsie Stevens | Optometrist | 6815 N 19th Ave Ste 130, Phoenix, AZ 85015-1135 | 2020-07-23 |
| 1134747801 | National Vision Inc | Optometrist | 1838 W Bell Rd, Phoenix, AZ 85023-3480 | 2020-07-09 |
| 1770109282 | Nathan Jones | Optometrist | 6135 N 35th Ave Ste 139, Phoenix, AZ 85017-1953 | 2020-06-20 |
| 1447874755 | Jenna Derubeis | Optometrist | 16515 S 40th St Ste 111, Phoenix, AZ 85048-0559 | 2020-06-02 |
| 1184250383 | Jhajaira Elizabeth Cadenas | Optometrist | 3937 W Northview Ave, Phoenix, AZ 85051 | 2020-03-19 |
| 1659927663 | National Vision Inc | Optometrist | 2805 W Agua Fria Fwy Ste 1, Phoenix, AZ 85027-3940 | 2019-08-15 |
| 1588148993 | Jillian Ralston | Optometrist | 112 W Mcdowell Road, Phoenix, AZ 85003 | 2018-09-20 |
| 1932680618 | Carefree Eyecare | Optometrist | 3170 W Carefree Hwy Ste C3c4, Phoenix, AZ 85086-3205 | 2018-08-22 |
| 1710464417 | Ngoc Le | Optometrist | 1650 E Camelback Rd Ste 160, Phoenix, AZ 85016-3947 | 2018-07-25 |
| 1255826681 | Eric Bradford Vanausdal | Optometrist | 15215 S 48th St Ste 180, Phoenix, AZ 85044-9140 | 2018-06-27 |
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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.