Tessa C Johnston, O. D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

3177AT Issued in OR

Practice address

880 Golf View Dr
Suite 101
Medford, OR 97504

Phone

(541) 779-3797

Fax

(541) 608-2138

NPI assigned

Sep 17, 2006

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in OR

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Optometry

Education

Ohio State University - College of Optometry, 2006

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Cataract and Laser Institute of Southern Oregon PCGroup PAC ID 7517952344, 5 clinicians

Horn Optometric, LLCGroup PAC ID 8022917665, 4 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

92.95 of 100Reported as group

Quality

97.66

Improvement activities

40

Cost

79.61

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Cataract and Laser Institute of Southern Oregon PC

  • Ophthalmology Physician
  • Medford, OR
  • NPI 1609913219

  Optometrist

  Medicare reassignment Care Compare group NPD
• Horn Optometric, LLC

  • Optometrist
  • Medford, OR
  • NPI 1407966203
  Medicare reassignment Care Compare group NPD
• Eyecare Associates of Southern Oregon PC

  • Optometrist
  • Medford, OR
  • NPI 1902981087
  Medicare reassignment NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1158451200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1749600000000",
    "number": "1174620835",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "880 GOLF VIEW DR",
            "address_2": "SUITE 101",
            "city": "MEDFORD",
            "state": "OR",
            "postal_code": "97504",
            "telephone_number": "541-779-3797",
            "fax_number": "541-608-2138"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "880 GOLF VIEW DR",
            "address_2": "SUITE 101",
            "city": "MEDFORD",
            "state": "OR",
            "postal_code": "97504",
            "telephone_number": "541-779-3797",
            "fax_number": "541-608-2138"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSTON",
        "first_name": "TESSA",
        "middle_name": "C",
        "name_prefix": "Dr.",
        "credential": "O. D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-17",
        "last_updated": "2025-06-11",
        "certification_date": "2024-10-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "OR",
            "license": "3177AT",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "026488",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Marie Ida Johnsonblount
• Courtney Renae Johnston
• George David Johnston, D.O.
• Kari Johnston
• Lisa M Johnston, LMT
• Tim Johnston, MD
• Kevin M Joines, DPT
• Danielle R Jolley
• Grant A Jolliffe, FNP
• Yekaterina Joltikov, MD

• Optometrist in Medford, OR
• Providers in Medford, OR by specialty
• Optometrist in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.