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JOHNSON VISION DEVELOPMENT CENTER, LLC
NPI 1235401514
Optometrist - Pediatrics in Jackson, TN

Active since February 02, 2012
1012 GREYSTONE SQUARE, JACKSON, TN 38305(731) 660-1100(731) 660-0688 Get Directions Write a Review

NPPES record last updated: September 25, 2019. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Johnson Vision Development Center, Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JOHNSON VISION DEVELOPMENT CENTER, LLC (NPI 1235401514) is a healthcare organization registered as a pediatrics in Jackson, Tennessee and active in the NPI registry since February 2012. The organization lists Paula Johnson-wyatt, Owner/optometrist, as its authorized official.

NPPES Registry Identity

NPI1235401514
Entity TypeOrganization
Primary Taxonomy152WP0200X
Legal Business NameJOHNSON VISION DEVELOPMENT CENTER, LLC
Location Address1012 GREYSTONE SQUAREJackson, TN 38305
Mailing Address1012 Greystone SquareJackson, TN 38305 · (731) 660-1100 · Fax (731) 660-0688
Phone(731) 660-1100
Fax(731) 660-0688
Organization SubpartNo
Authorized OfficialPaula Johnson-wyattOwner/optometrist · (731) 660-1100
Enumeration DateFebruary 2, 2012
Last NPPES UpdateSeptember 25, 2019
✔ NPI 1235401514 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyOptometrist · PediatricsEye and Vision Services Providers
Taxonomy Code152WP0200X
Definition
Optometrists who work in Pediatrics are concerned with the prevention, development, diagnosis, and treatment of visual problems in children.
Also ListedOptometrist · Vision TherapyTaxonomy 152WV0400X
1012 GREYSTONE SQUARE, Jackson, TN 38305
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Other Identifiers 2

MedicaidQ028220TN
Medicaid5440904TN

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BlueCross BlueShield of Tennessee.Insurance ›

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. PAULA JOHNSON-WYATT OD
Optometrist (Pediatrics)
1012 GREYSTONE SQUARE
JACKSON, TN 38305
Madison County (731) 660-1100

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Johnson Vision Development Center, LLC's NPI number?

The NPI number for Johnson Vision Development Center, LLC is 1235401514. It was assigned to this organization in the NPPES registry on February 2, 2012.

Where is Johnson Vision Development Center, LLC located?

Johnson Vision Development Center, LLC is located at 1012 Greystone Square, Jackson, TN 38305. The listed phone number is (731) 660-1100.

What is Johnson Vision Development Center, LLC's specialty?

The primary specialty registered for this NPI is Optometrist, specializing in Pediatrics, with taxonomy code 152WP0200X.

What insurance does Johnson Vision Development Center, LLC accept?

Health plans from BlueCross BlueShield of Tennessee list Johnson Vision Development Center, LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Johnson Vision Development Center, LLC was last updated on September 25, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.