Johnson Vision Development Center, LLC
NPI 1235401514 · Pediatric Optometrist · Jackson, TN
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Johnson Vision Development Center, LLC is a Pediatric Optometrist organization in Jackson, TN (NPI 1235401514).
Provider details
- NPI number
- 1235401514
- Entity type
- Organization
- Primary specialty
- Pediatric OptometristEye and Vision Services Providers
- Organization subpart
- No
- Authorized official
- Paula Johnson-Wyatt, Owner/Optometrist(731) 660-1100
Specialties & taxonomies
Eye and Vision Services Providers
- Vision Therapy Optometrist152WV0400X
Eye and Vision Services Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
14 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2012-02-02
- Last updated
- 2019-09-25
Frequently asked questions
- What is Johnson Vision Development Center, LLC's NPI number?
- Johnson Vision Development Center, LLC's National Provider Identifier (NPI) is 1235401514, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Johnson Vision Development Center, LLC?
- Johnson Vision Development Center, LLC is classified in the NPPES registry as Pediatric Optometrist (Eye and Vision Services Providers).
- Where is Johnson Vision Development Center, LLC located?
- Johnson Vision Development Center, LLC's practice location on file with NPPES is 1012 Greystone Square, Jackson, TN 38305.
- What is Johnson Vision Development Center, LLC's phone number?
- The practice phone number listed in the NPPES registry for Johnson Vision Development Center, LLC is (731) 660-1100.
- Does Johnson Vision Development Center, LLC accept Medicare?
- Johnson Vision Development Center, LLC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Johnson Vision Development Center, LLC?
- The authorized official listed on Johnson Vision Development Center, LLC's NPPES record is Paula Johnson-Wyatt, Owner/Optometrist. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Johnson Vision Development Center, LLC's NPI active?
- Yes — Johnson Vision Development Center, LLC's NPI (1235401514) is active in the NPPES registry as of the last update on 2019-09-25.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.