BRIAN JOHNSON


Address: 1200 W Godfrey Avenue, Philadelphia, PA 19141-3323
Phone: 2152766070

BRIAN JOHNSON (NPI# 1770063687) 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) 1770063687
Entity Type Individual
Full Name BRIAN JOHNSON
Credential OD
Practice Address 1200 W Godfrey Avenue
Philadelphia
PA 19141-3323
Mailing Address 1200 W Godfrey Ave
Philadelphia
PA 19141-3323
Practice Telephone 2152766070
Practice Fax Number 2152761329
Mailing Telephone 2152766111
Mailing Fax Number 2152761329
Enumeration Date 2018-08-20
Last Update Date 2018-08-20
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 152W00000X Optometrist OEG003474 PA Eye and Vision Services Providers

Other Provider Identifier

State Issuer Identifier Type Code
PA LICENSE OEG003474 01

Other Providers BRIAN JOHNSON

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1093111817 Brian Johnson Home Health 9446 Crockett Pass, Hamilton, OH 45011-9054 2014-11-05
1720483977 Brian Johnson Contractor 2940 Wakefield Ct, Hephzibah, GA 30815-6542 2014-10-30

Office Location

Street Address 1200 W GODFREY AVENUE
City PHILADELPHIA
State PA
Zip Code 19141-3323

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1598375925 Meredith Jeanne Behr Physician Assistant 5401 N Broad St, Philadelphia, PA 19141 2020-07-31
1811552896 Kristine Nissley Registered Nurse Einstein Urology Associates, 1200 West Tabor Road, 3rd Floor, Philadelphia, PA 19141 2019-05-06
1427525054 Danielle Dicicco Havelin Social Worker 1314 Windrim Ave, Philadelphia, PA 19141 2018-11-01
1568956043 Reid Thomas Alley Psychiatry & Neurology Albert Einstein Medical Center 5501 Old York Road, Philadelphia, PA 19141 2018-06-19
1912409533 Lauren Joy Barton Physician Assistant 5401 N Broad St Ste 363, Philadelphia, PA 19141 2018-02-28
1952819633 Einstein Practice Plan, Inc. Internal Medicine 5501 Old York Rd Fl Moss3, Philadelphia, PA 19141 2018-01-17
1043739642 Lauren Lynn Pleis Nurse Practitioner 1200 Tabor Road, Philadelphia, PA 19141 2017-09-14
1225558224 Ryan A. Hoffman Student in an Organized Health Care Education/Training Program Albert Einstein Medical Center, 5501 Old York Road, Philadelphia, PA 19141 2017-06-21
1972036515 Hussein Safa Family Medicine 1300 W Tabor Rd Bldg 1, Philadelphia, PA 19141 2017-04-11
1366895500 Ejaz Mahmood Student in an Organized Health Care Education/Training Program 5501, Old York Road, Albert Einstein Medical Centre, Philadelphia, PA 19141 2016-07-22
Find all providers in zip 19141

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
1457994923 Chauncey Eyecare Associates Pllc Optometrist 6001 N 5th St Ofc, Philadelphia, PA 19120-1873 2019-10-28
1427604982 Wendy Lin Optometrist 2828 Almond St, Philadelphia, PA 19134-4710 2019-08-12
1174182588 Harbison Eye Care LLC Optometrist 5597 Tulip St Ste B8, Philadelphia, PA 19124-1562 2019-06-10
1346809738 Steven Judson Moon Optometrist 1501 N Broad St Ste 7, Philadelphia, PA 19122-3319 2019-06-10
1639644172 Om Optical Optometrist 1318 Walnut St, Philadelphia, PA 19107-5410 2018-10-11
1508365784 C Vision Inc Optometrist 1230 Chestnut St, Philadelphia, PA 19107-4849 2018-02-02
1043737943 Wills Eye Optical Two, LLC Optometrist 800 Arch St, Philadelphia, PA 19107-3188 2017-08-23
1255854295 Jin Gao Optometrist 602 N 11th St, Philadelphia, PA 19123-3324 2017-07-21
1043765050 Chauncey Brown Jr. Optometrist 6001 N 5th Street, Office, Philadelphia, PA 19120-1825 2016-08-19
1811348121 Elina Dorfman-levy Optometrist 1001 Market St Unit C198, Philadelphia, PA 19107-3008 2016-06-28
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Competitor

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City PHILADELPHIA
Zip Code 19141

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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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