Optometrist, Pediatrics
JOHNSON VISION DEVELOPMENT CENTER, LLC
Identity confirmed via CMS NPPES · September 30, 2026 · A directory match is not a coverage approval.
Is this your practice? This listing was imported from public provider identity data (CMS NPPES) and has not yet been claimed. Claim this listing to confirm the practice details. Plan acceptance stays unpublished until the practice reports it.
Public record
NPI 1235401514 · enumerated 2012-02-02 · record updated 2019-09-25. Source: CMS NPPES. A listing is not a TRICARE network approval.
NPPES recordGoogle Maps Apple Maps OpenStreetMap
Authorized official: Dr. PAULA JOHNSON-WYATT OD, Owner/Optometrist · (731) 660-1100
Addresses and phones
- Practice location 1012 GREYSTONE SQUARE, JACKSON, TN, 38305 (731) 660-1100 Fax (731) 660-0688 Google Maps Apple Maps OpenStreetMap
- Mailing address 1012 GREYSTONE SQUARE, JACKSON, TN, 38305 (731) 660-1100 Fax (731) 660-0688 Google Maps Apple Maps OpenStreetMap
Specialties
- Optometrist, Vision Therapy 152WV0400X
- Optometrist, Pediatrics 152WP0200X · Primary
In this directory
Locations and evidence
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Practice location
JACKSON, TN, 38305
Accepting new patientsNot reportedCMS NPPES · September 30, 2026
Plan acceptance
- No published plan acceptance yet. Confirm directly with the practice, or claim this listing if it's yours.