S. Johnston, OD PLLC

Primary specialty

OptometristTaxonomy code 152W00000X

Legal business name

S. JOHNSTON, OD PLLC

Practice address

3220 N Reserve St
Missoula, MT 59808-1556

Phone

(406) 218-2730

Fax

(406) 218-2731

NPI assigned

Mar 30, 2023

Organization subpart

No

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

Authorized official

Name

Shane Johnston, ODNPI 1356791545

Title

Owner/Optometrist

Phone

(623) 688-7310

Specialties & licenses 1

Addresses

Other names 1

• Shane Johnston, OD & Associates Doing business as

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Shane M Johnston, O.D.

  • Optometrist
  • Mesa, AZ
  • NPI 1356791545
  NPD Authorized official

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

{
    "created_epoch": "1680134400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1680134400000",
    "number": "1376247486",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2421 HALF HITCH DR",
            "city": "MISSOULA",
            "state": "MT",
            "postal_code": "598085472",
            "telephone_number": "623-688-7310"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3220 N RESERVE ST",
            "city": "MISSOULA",
            "state": "MT",
            "postal_code": "598081556",
            "telephone_number": "406-218-2730",
            "fax_number": "406-218-2731"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "S. JOHNSTON, OD PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-03-30",
        "last_updated": "2023-03-30",
        "certification_date": "2023-03-30",
        "status": "A",
        "authorized_official_last_name": "JOHNSTON",
        "authorized_official_first_name": "SHANE",
        "authorized_official_title_or_position": "OWNER/OPTOMETRIST",
        "authorized_official_telephone_number": "623-688-7310",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Shane Johnston, OD & Associates",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Kailey Ryan
• Meredith Cooper Ryan
• Patrick Ryan, LAC
• Robert Ryan
• Katherine Reinhard Rye, CNM
• Lauren Saathoff, LCPC
• Sage Estissage
• Sage Hill Therapy Services PC
• Sage Psychotherapy
• Rayna Sage, PHD, MSW

• Optometrist in Missoula, MT
• Providers in Missoula, MT by specialty
• Optometrist in Montana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.