Trevor Johnson, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

3926 Issued in MN

Practice address

1630 Center St W
Rochester, MN 55902-0346

Phone

(507) 316-0770

Fax

(507) 701-0730

NPI assigned

Jun 26, 2024

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MN

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

Specialty

Optometry

Education

Other, 2024

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Rochester Family Eye Clinic LLCGroup PAC ID 7214952662, 6 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Rochester Family Eye Clinic LLC

  • Optometrist
  • Rochester, MN
  • NPI 1831173335
  Medicare reassignment Care Compare group NPD
• Total Vision Eyecare, PLLC

  • Optometrist
  • Rochester, MN
  • NPI 1316588700
  NPD

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

{
    "created_epoch": "1719360000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1719360000000",
    "number": "1669217212",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1630 CENTER ST W",
            "city": "ROCHESTER",
            "state": "MN",
            "postal_code": "559020346",
            "telephone_number": "507-316-0770",
            "fax_number": "507-701-0730"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1630 CENTER ST W",
            "city": "ROCHESTER",
            "state": "MN",
            "postal_code": "559020346",
            "telephone_number": "507-316-0770",
            "fax_number": "507-701-0730"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "TREVOR",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-06-26",
        "last_updated": "2024-06-26",
        "certification_date": "2024-06-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MN",
            "license": "3926",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stephen Abraham Johnson, MD
• Sydney N Johnson, PT
• Tanner M Johnson, PHARMD
• Todd Matthew Johnson, PHARM.D.
• Tori Ann Johnson, NP
• Tucker Fulton Johnson, MD
• Wendy Johnson
• Willie Mohammed Johnson Jr., MD
• Bruce William Johnston, M.D.
• Donald L Johnston, M.D.

• Optometrist in Rochester, MN
• Providers in Rochester, MN by specialty
• Optometrist in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2024; 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.

Verify at the official NPI Registry.