Vision Care
NPI 1093694374ActiveOrganization· Optometrist· Ketchikan, AK
Optometrist in Ketchikan, Alaska, registered in NPPES in August 2025. The authorized official on file is Joseph Hyrum Johnson, O.D., Owner. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1093694374 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Aug 29, 2025 |
| Last updated in NPPES | Aug 29, 2025 |
| Certified by provider | Aug 29, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Optometrist Primary | 152W00000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (AK) |
|---|
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