Individual provider Active NPI

Jeffrey Dean Johnston, O.D.

  • Optometrist
  • Lapeer, MI
National Provider Identifier
1508856105
Registry record updated Aug 26, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
4901004090 Issued in MI
Practice address
129 W Nepessing St
Lapeer, MI 48446-2102
Phone
(810) 664-3937
NPI assigned
Oct 25, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 26, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 4901004090 MI Primary

Addresses

Primary practice location

129 W Nepessing St
Lapeer, MI 48446-2102

Mailing address

1315 N Monroe St
Lapeer, MI 48446-1484
Phone (810) 664-5991

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
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
I20080516000620 MI Practitioner - Optometry 8527049592 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Illinois College of Optometry at Chicago, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Lapeer County Eye Associates IncGroup PAC ID 6103807169, 7 clinicians

Practice addresses (Care Compare)

333 W Nepessing St
Lapeer, MI 48446-2105

518 S Cedar St
Lapeer County Vision Center
Imlay City, MI 48444-1345
Phone (810) 724-3937

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery13

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Thumb Area Eye Associates Optometrist CurrentSince Jul 1, 2026 Accepting new patients
Mei Operations, PLLC Past Accepting new patients

Locations

119 N Hanselman St
Bad Axe, MI 48413
Phone (989) 269-3937

810 S State St
Caro, MI 48723
Phone (989) 673-3332

518 S Cedar St
Imlay City, MI 48444
Phone (810) 724-0529

700 S Main St
Ste 113
Lapeer, MI 48446
Phone (810) 664-1329

333 W Nepessing St
Lapeer, MI 48446
Phone (810) 664-3937

177 W Huron Ave
Vassar, MI 48768
Phone (989) 823-8666

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1130198400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1219708800000",
    "number": "1508856105",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1315 N MONROE ST",
            "city": "LAPEER",
            "state": "MI",
            "postal_code": "484461484",
            "telephone_number": "810-664-5991"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "129 W NEPESSING ST",
            "city": "LAPEER",
            "state": "MI",
            "postal_code": "484462102",
            "telephone_number": "810-664-3937"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSTON",
        "first_name": "JEFFREY",
        "middle_name": "DEAN",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-25",
        "last_updated": "2008-08-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MI",
            "license": "4901004090",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lapeer, MI

Sources for this page

Verify at the official NPI Registry.