JESSICA MARIE JOHNSON


Address: 3035 E Mound Rd, Decatur, IL 62526-9650
Phone: 2175543000

JESSICA MARIE JOHNSON (NPI# 1457582389) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1457582389
Entity Type Individual
Full Name JESSICA MARIE JOHNSON
Credential O.D.
Practice Address 3035 E Mound Rd
Decatur
IL 62526-9650
Practice Telephone 2175543000
Mailing Telephone 2175543000
Enumeration Date 2009-07-27
Last Update Date 2012-12-17
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 152W00000X Optometrist 046010220 IL Eye and Vision Services Providers

Other Providers JESSICA JOHNSON

NPI Name Taxonomy Address Enumeration
1659978039 Jessica N Johnson Pediatrics 4078 Country Club Rd, Brodnax, VA 23920-3404 2020-10-08
1134747165 Jessica Johnson Registered Nurse 535 Los Alamos Rd, Santa Rosa, CA 95409-4425 2020-07-07
1710504311 Jessica Lee Johnson Registered Nurse 7373 W 6th Ave, Lakewood, CO 80214-4518 2020-06-30
1427670827 Jessica Johnson Registered Nurse 745 Shaker Mill Rd, Bowling Green, KY 42103-9064 2020-05-08
1124649926 Jessica Delores Johnson Nurse Practitioner 360 Ossie Davis Pkwy, Waycross, GA 31501-4566 2020-05-03
1467084806 Jessica Lyn Johnson Specialist/Technologist 23 E 157th Pl S, Glenpool, OK 74033-4437 2020-02-04
1215588819 Jessica Johnson Counselor 1001 John D Odom Rd, Dothan, AL 36303-9485 2019-09-25
1356905145 Jessica Johnson Technician 2506 14th St Ne Apt 2, Washington, DC 20018-1928 2019-04-26
1043776503 Jessica Johnson Nurse Practitioner 3303 Duval St, Jupiter, FL 33458-8259 2019-02-20
1548733785 Jessica Thorman Johnson Dietitian, Registered 1056 Texan Trail (fortis Bmi), Grapevine, TX 76051 2019-01-10

Office Location

Street Address 3035 E MOUND RD
City DECATUR
State IL
Zip Code 62526-9650

Providers in the same location

NPI Name Taxonomy Address Enumeration
1518978972 Kerri Ann Dixon Registered Nurse 3035 E Mound Rd, Decatur, IL 62526-9650 2006-08-11
1578941589 Anina Blankenship Social Worker 3035 E Mound Rd, Decatur, IL 62526-9650 2015-05-11
1902101017 Ashley Thais Pharmacist 3035 E Mound Rd, Decatur Cboc, Decatur, IL 62526-9650 2011-01-20
1366771339 Amber Teresa Clark Social Worker 3035 E Mound Rd, Decatur, IL 62526-9650 2009-12-21
1538398656 Department of Veterans Affairs Clinic/Center 3035 E Mound Rd, Decatur, IL 62526-9650 2009-07-10
1518065119 Janet L. Whitehead Social Worker 3035 E Mound Rd, Decatur, IL 62526-9650 2006-09-20
1679675490 Kathryn F Fair Psychologist 3035 E Mound Rd, Decatur, IL 62526-9650 2006-09-02
1043323793 Veteran's Administration Clinic/Center 3035 E Mound Rd, Decatur, IL 62526-9650 2006-08-16

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1083100804 Coalition Non-emergency Medical Transport (VAN) 2375 N Longwood Dr, Decatur, IL 62526 2018-07-04
1881116820 Bria N Howard Nurse's Aide 606 E Warren St. Apt 609, Decatur, IL 62526 2017-07-12
1437683679 Lutheran Child and Family Services Foster Care Agency 2826 N. Monroe Street, Decatur, IL 62526 2017-04-14
1083166326 Whitney Miller Pharmacist 225 East Ash Ave, Decatur, IL 62526 2016-11-03
1487053369 Central Illinois Health Associates, Inc Preferred Provider Organization 2300 N. Edward Street, Decatur, IL 62526 2014-08-18
1659787893 Stephanie Marie Kanitsch Obstetrics & Gynecology 544 W Pershing Rd Ste A, Decatur, IL 62526 2014-07-09
1497169973 Brian Hassinger Audiologist-Hearing Aid Fitter 2605 N Water St Ste 101, Decatur, IL 62526 2014-06-12
1891041570 Decatur 2016 LLC Dentist 141 Epershing Rd, Decatur, IL 62526 2012-07-31
1558639005 Larry Lee Christensen Pharmacist 225 Ash Ave, Decatur, IL 62526 2011-12-12
1174821540 Nathan Pyle Internal Medicine 2 Memorial Dr Ste 101, Decatur, IL 62526 2011-03-08
Find all providers in zip 62526

Taxonomy Information

Taxonomy Code 152W00000X
Grouping Eye and Vision Services Providers
Classification Optometrist

Taxonomy Definition

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]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1295340172 National Vision Inc Optometrist 1107 Beltline Rd Se Ste C, Decatur, AL 35601-6556 2020-09-09
1902433691 Decatur Eye Care Optometrist 321 W Hill St Ste 6, Decatur, GA 30030-4362 2020-03-24
1114468089 T&t Eyecare, LLC Optometrist 2570 Blackmon Dr., Suite 360, Decatur, GA 30033 2017-03-13
1487952503 Michael A. Harshman P.C. Optometrist 815 S 13th St, Decatur, IN 46733-1803 2011-03-14
1962736660 Johnny H Lott Jr. Optometrist 2301 Point Mallard Dr Se, Decatur, AL 35601-6741 2009-09-28
1033371729 Jonathan R Bradley Optometrist 4837 E Rt 36, Central Illinois Vision Center, Decatur, IL 62521 2008-06-25
1649482274 Keith F Fishe Optometrist 3580 Memorial Dr, Decatur, GA 30032-2723 2007-05-04
1962524033 Asfaw Kindeya Natu Optometrist 2050 Lawrenceville Hwy Ste D50, Decatur, GA 30033-4316 2007-04-06
1821122060 Shama Jitendra Patel Optometrist 2851 Candler Rd, Suite 100, Decatur, GA 30034-1412 2007-03-16
1306977103 Marc Vision Care, Ltd. Optometrist 2705 N Water St Ste C, Decatur, IL 62526-6502 2007-03-07
Find all providers in DECATUR

Competitor

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City DECATUR
Zip Code 62526

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Dataset Information

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.

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