Victoria Jo Johnson, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

823 Issued in SD

Practice address

11 Shriner St
Vermillion, SD 57069-1155

Phone

(605) 624-2020

NPI assigned

Jul 6, 2023

Last updated

Mar 3, 2025By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 4

Addresses

Medicare fee-for-service enrollment

Enrolled in GA, SD, MN, IA4 enrollments

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 4

Specialty

Optometry

Education

Illinois College of Optometry at Chicago, 2023

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Hawkeye Exact SD 1 PLLCGroup PAC ID 8628517703, 3 clinicians

Hawkeye Exact LLCGroup PAC ID 8921428400, 3 clinicians

Practice addresses (Care Compare)

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Hawkeye Exact SD 1 PLLC

  dba Prairie Eye Clinic

  • Optometrist
  • Vermillion, SD
  • NPI 1013756899
  Medicare reassignment Care Compare group NPD
• Hawkeye Exact, LLC

  dba Exact Eye Care

  • Optometrist
  • Sioux City, IA
  • NPI 1447896782

  SD

  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1688601600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1740960000000",
    "number": "1346928751",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1703 ARNOLD PALMER LN",
            "city": "ELK POINT",
            "state": "SD",
            "postal_code": "570252313",
            "telephone_number": "605-670-0578"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11 SHRINER ST",
            "city": "VERMILLION",
            "state": "SD",
            "postal_code": "570691155",
            "telephone_number": "605-624-2020"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "104 N Freeman Ave",
            "address_purpose": "LOCATION",
            "city": "Luverne",
            "state": "MN",
            "postal_code": "561561628",
            "country_code": "US",
            "telephone_number": "507-283-2345",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "255 16th St SW",
            "address_purpose": "LOCATION",
            "city": "Sioux Center",
            "state": "IA",
            "postal_code": "512502959",
            "country_code": "US",
            "telephone_number": "712-722-4204",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "VICTORIA",
        "middle_name": "JO",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-07-06",
        "last_updated": "2025-03-03",
        "certification_date": "2025-03-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "IA",
            "license": "130794",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "GA",
            "license": "OPT003533",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MN",
            "license": "3966",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "SD",
            "license": "823",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sheila Rae Jacobson, PT
• Phil D Jaquith, PA
• Ashley Johnson, PA-C
• Cynthia Johnson, O.D.
• Kylie Johnson, AUD
• Susan Jane Jopling, MA-CCC/SLP
• Jessica Jordan, DO
• Becca D Jordre, DPT
• Brian Phillip Jundt, M.D.
• Dena Marie Jundt, M.D.

• Optometrist in Vermillion, SD
• Providers in Vermillion, SD by specialty
• Optometrist in South Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 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.