Individual provider Active NPI

Brianna Nicole Johnson, OD

  • Optometrist
  • Bloomington, MN
National Provider Identifier
1568235489
Registry record updated May 4, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
3993 Issued in MN
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, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 4, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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, MN2 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 2

Enrollment IDStateProvider typePAC IDDetails
I20231129001241 ND Practitioner - Optometry 2062860273 Reassigns benefits to 1 organization
I20250520000110 MN Practitioner - Optometry 2062860273 Reassigns benefits to 1 organization

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
Minnesota Eye Consultants, PAGroup PAC ID 4284524539, 34 clinicians

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 100Reported as group
Quality
60.15
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Minnesota Eye Consultants, PA CurrentSince Jul 1, 2025 Accepting new patients
Lifetime Vision 20/20 Optometrist CurrentSince Nov 1, 2023 Accepting new patients
Northwest Eye Clinic, LLC Past Accepting new patients
Minnesota Eye Laser & Surgery Centers, LLC PastSince Jul 1, 2025 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

  • Direct secure messaging: 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.

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

Verify at the official NPI Registry.