Individual provider Active NPI

Dawn L Johnson, O.D.

  • Optometrist
  • Tuscaloosa, AL
National Provider Identifier
1467494492
Registry record updated May 19, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
R147TA686 Issued in AL
Practice address
1401 Skyland Blvd E
Tuscaloosa, AL 35405-4229
Phone
(205) 345-3893
Fax
(205) 345-3896
NPI assigned
Jun 12, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 19, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 18002717B IN
Optometrist 152W00000X R147TA686 AL Primary

Addresses

Primary practice location

1401 Skyland Blvd E
Tuscaloosa, AL 35405-4229

Mailing address

15239 Sandy Creek Dr
Cottondale, AL 35453-2927
Phone (205) 796-5125

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL
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

Enrollment IDStateProvider typePAC IDDetails
I20091124000058 AL Practitioner - Optometry 6103965678 Reassigns benefits to 1 organization
Practice locations: Tuscaloosa, AL

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Indiana University - School of Optometry, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1401 Skyland Blvd E
Tuscaloosa, AL 35405-4229
Phone (205) 345-3893

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
18002717BINMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Dawn Johnson, OD Optometrist CurrentSince Oct 15, 2021 Accepting new patients
New Horizons Eyecare, PC Optometrist Past Accepting new patients

Locations

1701 McFarland Blvd E
Ste 141
Tuscaloosa, AL 35404
Phone (205) 556-0701

1401 Skyland Blvd E
Tuscaloosa, AL 35405
Phone (205) 345-2016

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1150070400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1747612800000",
    "number": "1467494492",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15239 SANDY CREEK DR",
            "city": "COTTONDALE",
            "state": "AL",
            "postal_code": "354532927",
            "telephone_number": "205-796-5125"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1401 SKYLAND BLVD E",
            "city": "TUSCALOOSA",
            "state": "AL",
            "postal_code": "354054229",
            "telephone_number": "205-345-3893",
            "fax_number": "205-345-3896"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "DAWN",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-06-12",
        "last_updated": "2025-05-19",
        "certification_date": "2025-05-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "IN",
            "license": "18002717B",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "AL",
            "license": "R147TA686",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tuscaloosa, AL

Sources for this page

Verify at the official NPI Registry.