| Johnson Vision Development Center, Llc | |
|
1012 Greystone Square, Jackson, TN 38305 | |
| (731) 660-1100 | |
| (731) 660-0688 |
| Full Name | Johnson Vision Development Center, Llc |
|---|---|
| Type | Facility |
| Speciality | Optometrist - Pediatrics |
| Location | 1012 Greystone Square, Jackson, Tennessee |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1235401514 | NPI | - | NPPES |
| 5440904 | Medicaid | TN | |
| Q028220 | Medicaid | TN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152WP0200X | Optometrist - Pediatrics | (* (Not Available)) | Primary |
| 152WV0400X | Optometrist - Vision Therapy | (* (Not Available)) | Secondary |
| Provider Name | Paula M Johnson-wyatt |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1477501088 PECOS PAC ID: 6901884162 Enrollment ID: I20040713000797 |
| Provider Name | Stephanie Mcmillen |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1144882952 PECOS PAC ID: 7517399033 Enrollment ID: I20191120003327 |
| Mailing Address | Practice Location Address |
|---|---|
| Johnson Vision Development Center, Llc 1012 Greystone Square, Jackson, TN 38305 Ph: (731) 660-1100 | Johnson Vision Development Center, Llc 1012 Greystone Square, Jackson, TN 38305 Ph: (731) 660-1100 |
Burnett And Hubbard Eyecare Pllc Optometrist Medicare: Medicare Enrolled Practice Location: 214 Carriage House Dr, Jackson, TN 38305 Phone: 731-668-4881 Fax: 731-668-5705 | |
Micah Lee Mccarty, OD Optometrist Medicare: Medicare Enrolled Practice Location: 112 Stonebridge Blvd, Jackson, TN 38305 Phone: 731-664-1994 | |
Trent Wayne Martin, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 1296 Union University Dr Ste B, Jackson, TN 38305 Phone: 731-513-5755 | |
Dr. James Earl Haggard, O.D. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 2021 N Highland Ave, Jackson, TN 38305 Phone: 731-664-5655 Fax: 731-664-0256 | |
Dr. Marcie D Lewis, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 145 Innovation Dr, Jackson, TN 38305 Phone: 731-422-0213 Fax: 731-660-8368 | |
Dr. Charlene N Burnett, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 214 Carriage House Dr, Jackson, TN 38305 Phone: 731-668-4881 Fax: 731-668-5705 | |
The Urban Eye Pc Optometrist Medicare: Medicare Enrolled Practice Location: 412 Oil Well Rd, Jackson, TN 38305 Phone: 731-554-3333 Fax: 731-554-3336 |