Healthcare Provider Details

I. General information

NPI: 1861842940
Provider Name (Legal Business Name): APRIL MARIE JOHNSON O.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/20/2016
Last Update Date: 10/08/2024
Certification Date: 10/08/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1775 K ST NW
WASHINGTON DC
20006-1502
US

IV. Provider business mailing address

1100 S HAYES ST
ARLINGTON VA
22202-4907
US

V. Phone/Fax

Practice location:
  • Phone: 202-463-6364
  • Fax:
Mailing address:
  • Phone: 703-415-5544
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code152W00000X
TaxonomyOptometrist
License NumberTA2552
License Number StateMD
# 2
Primary TaxonomyN
Taxonomy Code152W00000X
TaxonomyOptometrist
License Number0618002506
License Number StateVA
# 3
Primary TaxonomyN
Taxonomy Code152W00000X
TaxonomyOptometrist
License NumberOEG004202
License Number StatePA
# 4
Primary TaxonomyY
Taxonomy Code152W00000X
TaxonomyOptometrist
License NumberOP1000356
License Number StateDC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: