Individual provider Active NPI

Darin Lee Johnson, O.D.

  • Optometrist
  • Minot, ND
National Provider Identifier
1710090485
Registry record updated Nov 28, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
648 Issued in ND
Practice address
1525 31St Ave SW
Suite E
Minot, ND 58701-2016
Phone
(701) 857-6050
Fax
(701) 857-6052
NPI assigned
Aug 16, 2006
Last updated
Nov 28, 2011By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 28, 2011

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 3022 MN
Optometrist 152W00000X 648 ND Primary

Addresses

Primary practice location

1525 31St Ave SW
Suite E
Minot, ND 58701-2016

Mailing address

3118 Northview Drive
Coleharbor, ND 58531
Phone (701) 240-0812

Other identifiers 2

IdentifierTypeStateIssuer
712844OtherNDMEDICARE PTAN
60447MedicaidND

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ND
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
I20070921000605 ND Practitioner - Optometry 0042240046 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Pacific University - College of Optometry, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Johnson Eyecare PCGroup PAC ID 7517052079, 2 clinicians

Practice addresses (Care Compare)

1525 31St Ave SW
Suite E
Minot, ND 58701-2016
Phone (701) 857-6050

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as individual
Quality
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery82

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
648NDMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Johnson Eyecare PC Optometrist CurrentSince Sep 6, 2007 Accepting new patients
Visionworks Inc Past Accepting new patients
Vision World Inc Past Accepting new patients
Visionworks, Inc. Optometrist Past Accepting new patients
Vision World Inc Past Accepting new patients

Locations

1525 31st Ave SW
Ste E
Minot, ND 58701
Phone (701) 857-6050

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": "1155686400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1322438400000",
    "number": "1710090485",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3118 NORTHVIEW DRIVE",
            "city": "COLEHARBOR",
            "state": "ND",
            "postal_code": "58531",
            "telephone_number": "701-240-0812"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1525 31ST AVE SW",
            "address_2": "SUITE E",
            "city": "MINOT",
            "state": "ND",
            "postal_code": "587012016",
            "telephone_number": "701-857-6050",
            "fax_number": "701-857-6052"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "DARIN",
        "middle_name": "LEE",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-16",
        "last_updated": "2011-11-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MN",
            "license": "3022",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "ND",
            "license": "648",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "712844",
            "state": "ND"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "60447",
            "state": "ND"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Minot, ND

Sources for this page

Verify at the official NPI Registry.