MEDICARE: STEPHANIE N. JOHNSON-BARNETT O.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	152W00000X	Optometrist	S-B36	AL

General Provider Information

NPI Number	:	1710923982
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	STEPHANIE N. JOHNSON-BARNETT O.D.

Provider Business Mailing Address
First Line	:	PO BOX 1310
Second Line	:
City	:	TRUSSVILLE
State	:	AL
Zip	:	35173-6102
Country	:	US
Telephone Number	:	205-661-2080
Fax Number	:	205-661-2085

Provider Business Practice Location Address
First Line	:	129 N CHALKVILLE RD
Second Line	:
City	:	TRUSSVILLE
State	:	AL
Zip	:	35173-1376
Country	:	US
Telephone Number	:	205-445-2020
Fax Number	:	205-655-3194

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/22/2006
Last Update Date	:	02/18/2026

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