Mark Anthony Johnson, MD

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

ME64457 Issued in FL

Practice address

811 Ridgewood Avenue
Venice, FL 34285

Phone

(941) 792-2020

NPI assigned

Mar 7, 2006

Sex

Male

Sole proprietor

Yes

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 FL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Merit-based Incentive Payment System (MIPS)

Final score

75 of 100Reported as individual

Merit-based Incentive Payment System (MIPS)

Final score

84.22 of 100Reported as group

Quality

81.43

Improvement activities

40

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Networks

• Freedom Health HMO Network

Interoperability endpoints

• Direct secure messaging: mark.johnsonmd.p3@direct.theeyeassociates.nextgenshare.com
• Direct secure messaging: mark.johnsonmd.p1@direct.theeyeassociates.nextgenshare.com

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.

• Mark Johnson MD PA

  • Ophthalmology Physician
  • Venice, FL
  • NPI 1730152752
  Medicare reassignment NPD
• Blue Sky Eyewear LLC

  • Technician/Technologist
  • Venice, FL
  • NPI 1841360096
  NPD
• Eye Associates of Manatee LLP

  • Eyewear Supplier
  • Fort Myers, FL
  • NPI 1659091759
  NPD
• Eye Associates of Manatee, LLP

  • Ophthalmology Physician
  • Bradenton, FL
  • NPI 1366483851
  NPD
• Eye Centers of Florida

  • Optometrist
  • Lehigh Acres, FL
  • NPI 1942362140
  NPD (past)
• Provision Laser Eye Center PA

  • Durable Medical Equipment & Medical Supplies
  • Englewood, FL
  • NPI 1639217540
  NPD (past)

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

{
    "created_epoch": "1141689600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1728000000000",
    "number": "1205803418",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 162264",
            "city": "ALTAMONTE SPRINGS",
            "state": "FL",
            "postal_code": "327162264"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "811 RIDGEWOOD AVENUE",
            "city": "VENICE",
            "state": "FL",
            "postal_code": "34285",
            "telephone_number": "941-792-2020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "MARK",
        "middle_name": "ANTHONY",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-03-07",
        "last_updated": "2024-10-04",
        "certification_date": "2024-10-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "FL",
            "license": "ME64457",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "379740600",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Elizabeth Johnson
• Jeffrey P. Johnson, D.C.
• Keith B Johnson, MD
• Kendall Dewayne Johnson, COTA
• Kristen Johnson
• Thomas W Johnson, PA
• Victoria S Johnson, MD
• Amelia Jones, MS, HHA, CNA
• Michael Jones, PT
• Aja Jordan

• Ophthalmology Physician in Venice, FL
• Providers in Venice, FL by specialty
• Ophthalmology Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2024; 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.