Active NPI
Brianna Nicole Johnson, OD
- Optometrist
- Bloomington, MN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 3993
- Practice address
- 9801 Dupont Ave S Ste 200
Bloomington, MN 55431-3200 - Phone
- (952) 888-5800
- Fax
- (952) 567-6156
- NPI assigned
- Nov 2, 2023
- Last updated
- May 4, 2026
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 815 | ND | |
| Optometrist | 152W00000X | 3993 | MN | Primary |
Addresses
Primary practice location
9801 Dupont Ave S Ste 200
Bloomington, MN 55431-3200
Mailing address
300 2ND Ave NE
Jamestown, ND 58401-3373
Phone (701) 252-2020
Other practice location 1
300 2nd Ave NE
Jamestown, ND 58401-3373
Phone (701) 252-2020
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in ND, MN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Optometry
- Education
- Pacific University - College of Optometry, 2023
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
9801 Dupont Ave S
Suite 200
Bloomington, MN 55431-3200
Phone (952) 888-5800
Merit-based Incentive Payment System (MIPS)
- Final score
- 80.07 of 100
- Quality
- 60.15
- Improvement activities
- 40
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Cataract surgery | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Minnesota Eye Consultants, PA | Current | Accepting new patients | |
| Lifetime Vision 20/20 | Optometrist | Current | Accepting new patients |
| Northwest Eye Clinic, LLC | Past | Accepting new patients | |
| Minnesota Eye Laser & Surgery Centers, LLC | Past | Accepting new patients | |
| Minnesota Eye Consultants, PA | Past | Accepting new patients |
Locations
11091 Ulysses St NE
Ste 300
Blaine, MN 55434
Phone (763) 421-9410
9801 DuPont Ave S
Ste 200
Minneapolis, MN 55431
9801 DuPont Ave S
Ste 425
Minneapolis, MN 55431
Phone (952) 567-6092
12501 Whitewater Dr
Ste 310
Minnetonka, MN 55343
7125 Tamarack Rd
Ste 100
Woodbury, MN 55125
300 2nd Ave NE
Jamestown, ND 58401
Phone (701) 251-6000
300 2nd Ave NE
Ste 102
Jamestown, ND 58401
Phone (701) 252-2020
Interoperability endpoints
- bjohnson@uvpmec.intellechartdirect.net
Organizations & group practices 5
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.
-
- Ophthalmology Physician
- Bloomington, MN
- NPI 1508839879
-
- Optometrist
- Jamestown, ND
- NPI 1912052234
-
- Ophthalmology Physician
- Minnetonka, MN
- NPI 1932173374
-
- Ambulatory Surgical Clinic/Center
- Woodbury, MN
- NPI 1578003208
-
- Ophthalmology Physician
- St Anthony, MN
- NPI 1255417002
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1698883200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1777852800000",
"number": "1568235489",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "300 2ND AVE NE",
"city": "JAMESTOWN",
"state": "ND",
"postal_code": "584013373",
"telephone_number": "701-252-2020"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9801 DUPONT AVE S STE 200",
"city": "BLOOMINGTON",
"state": "MN",
"postal_code": "554313200",
"telephone_number": "952-888-5800",
"fax_number": "952-567-6156"
}
],
"practiceLocations": [
{
"address_1": "300 2nd Ave NE",
"address_purpose": "LOCATION",
"city": "Jamestown",
"state": "ND",
"postal_code": "584013373",
"country_code": "US",
"telephone_number": "701-252-2020",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "JOHNSON",
"first_name": "BRIANNA",
"middle_name": "NICOLE",
"credential": "OD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-11-02",
"last_updated": "2026-05-04",
"certification_date": "2026-05-04",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "ND",
"license": "815",
"primary": false
},
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "MN",
"license": "3993",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bloomington, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 4, 2026; 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.