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).
| 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 |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 152W00000X | Optometrist | 046010220 | IL | Eye and Vision Services Providers |
| 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 |
| Street Address |
3035 E MOUND RD |
| City | DECATUR |
| State | IL |
| Zip Code | 62526-9650 |
| 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 |
| 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 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 |
|---|---|---|---|---|
| 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 | ||||
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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.