Active NPI
Darin Lee Johnson, O.D.
- Optometrist
- Minot, ND
National Provider Identifier
1710090485
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 648
- 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, 2011
- Sex
- Male
- 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 | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 712844 | Other | ND | MEDICARE PTAN |
| 60447 | Medicaid | ND |
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
Enrollment records 1
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
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 100
- Quality
- 100
- Improvement activities
- 40
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Cataract surgery | 82 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 648 | ND | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Johnson Eyecare PC | Optometrist | Current | 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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 28, 2011; 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.