DR. MICHAEL ADDISON JOHNSON (NPI# 1437125234) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1437125234 |
| Entity Type | Individual |
| Full Name | DR. MICHAEL ADDISON JOHNSON |
| Credential | OD |
| Practice Address |
5049a Valley View Blvd Roanoke VA 24012-2075 |
| Practice Telephone | 5403627565 |
| Practice Fax Number | 5405630441 |
| Mailing Telephone | 5403627565 |
| Mailing Fax Number | 5405630441 |
| Enumeration Date | 2006-02-23 |
| Last Update Date | 2013-02-20 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 152W00000X | Optometrist | 0618001408 | VA | Eye and Vision Services Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| VA | ADMINISTAR FED | 0637850001 | 01 |
| VA | 010196809 | 05 | |
| VA | ANTHEM | 184520 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326655150 | Michael Johnson | Massage Therapist | 4344 Promenade Way Unit 304, Marina Del Rey, CA 90292-6293 | 2020-09-25 |
| 1184236648 | Michael L Johnson | Massage Therapist | 5 Skinner Ct, Tomkins Cove, NY 10986-1105 | 2020-08-17 |
| 1902440266 | Michael Cottrell Johnson | Technician | 3812 W. Mercer Way, Mercer Island, WA 98040 | 2019-10-30 |
| 1235772658 | Michael James Johnson | Driver | 173 S 197th Dr, Buckeye, AZ 85326-3069 | 2019-10-18 |
| 1992287130 | Michael Ray Johnson | Counselor | 900 Nw 31 Ave, Suite #2000, Ft Laud, FL 33311 | 2018-09-04 |
| 1932681715 | Michael Kenneth Johnson | Physician Assistant | 5399 Coachman Rd Apt E, Columbus, OH 43220-6270 | 2018-08-29 |
| 1538648860 | Michael Darnel Johnson Sr. | Counselor | 1705 Kinser Ct, Chesapeake, VA 23324-2332 | 2018-08-08 |
| 1821584988 | Michael Todd Johnson | Registered Nurse | 2137 W 70 S, Hurricane, UT 84737-2791 | 2018-07-02 |
| 1003313727 | Michael Olton Johnson | Physician Assistant | 11513 Merrick Blvd, Jamaica, NY 11434 | 2018-04-09 |
| 1578067336 | Michael Everett Johnson | Student in an Organized Health Care Education/Training Program | 1840 E Woodchase Dr, Baton Rouge, LA 70808-4000 | 2018-03-19 |
| Street Address |
5049A VALLEY VIEW BLVD |
| City | ROANOKE |
| State | VA |
| Zip Code | 24012-2075 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497720437 | Joe Riley Blackstock | Optometrist | 5049a Valley View Blvd, Roanoke, VA 24012-2075 | 2006-02-22 |
| 1003077926 | Patrick Bruce Curran | Optometrist | 5049a Valley View Blvd, Roanoke, VA 24012-2075 | 2008-06-23 |
| 1710953500 | Miles Jeffery Newman | Optometrist | 5049a Valley View Blvd, Roanoke, VA 24012-2075 | 2006-02-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215440359 | Sahar Rafiq | Dentist | 3802 Apricot Trl, Roanoke, VA 24012 | 2017-11-12 |
| 1790202695 | Friendship Pharmacy, Inc. | Pharmacy | 327 Hershberger Rd., Roanoke, VA 24012 | 2017-08-23 |
| 1760912901 | Odyssey Healthcare Operating B, Lp | Hospice Care, Community Based | 1318 Plantation Rd Ne, Roanoke, VA 24012 | 2017-06-19 |
| 1770019622 | Eisa Jawad Abu Munshar | Dentist | 4753 Valley View Blvd Nw, Roanoke, VA 24012 | 2017-05-11 |
| 1447702303 | Kartesz Eye Associates Inc. | Optometrist | 4922 Vally View Blvd., Roanoke, VA 24012 | 2016-10-26 |
| 1740638220 | Kevin E Steinberger | Physical Therapist | 2730 Forest Oak Dr, Roanoke, VA 24012 | 2016-05-25 |
| 1740637883 | Professional Health Care Services, Inc. | In Home Supportive Care | 367 Hershberger Rd., Nw, Roanoke, VA 24012 | 2016-05-18 |
| 1497129787 | M Zaher Aymach | Dentist | 1502 Williamson Rd Ne Ste A, Roanoke, VA 24012 | 2015-11-24 |
| 1518223916 | Katherine Rash | Social Worker | 3003 Hollins Road, Roanoke, VA 24012 | 2012-04-10 |
| 1841525383 | William Kastern, O.d., Ph.d., LLC | Optometrist | 4822c Valley View Blvd., Roanoke, VA 24012 | 2009-10-15 |
| Find all providers in zip 24012 | ||||
| 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 |
|---|---|---|---|---|
| 1467931246 | Kathryn Rosa Johnson | Optometrist | 3763 Franklin Rd Sw, Roanoke, VA 24014-2261 | 2018-08-12 |
| 1275032609 | Kelsey L. Gray | Optometrist | 2726 Electric Rd Ste 104, Roanoke, VA 24018-3528 | 2018-02-12 |
| 1740722669 | Humaira Hassan | Optometrist | 1104 N Highway 377 Ste 200, Roanoke, TX 76262-9124 | 2016-11-09 |
| 1447702303 | Kartesz Eye Associates Inc. | Optometrist | 4922 Vally View Blvd., Roanoke, VA 24012 | 2016-10-26 |
| 1629464037 | Star City Eye Care | Optometrist | 4822 Valley View Blvd Nw, Ste C, Roanoke, VA 24012-2025 | 2015-04-13 |
| 1194157248 | Cassandra Noel Benedick | Optometrist | 100 Country View Dr Ste 100, Roanoke, TX 76262-2055 | 2013-07-31 |
| 1427329499 | Roanoke Vision Associates, PC | Optometrist | 4524 Challenger Ave, Suite A, Roanoke, VA 24012-7028 | 2012-01-23 |
| 1841525383 | William Kastern, O.d., Ph.d., LLC | Optometrist | 4822c Valley View Blvd., Roanoke, VA 24012 | 2009-10-15 |
| 1588894950 | Ami Nadolsky | Optometrist | 4822c Valley View Blvd, Roanoke, VA 24012 | 2009-07-20 |
| 1164674289 | Karl C. Saliba, O.d., PC | Optometrist | 2222 Electric Road, S.w., Suite 201, Roanoke, VA 24018-2300 | 2008-10-21 |
| Find all providers in ROANOKE | ||||
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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.