Elizabeth M Johnson, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

3225 Issued in MN

Practice address

6900 W Lake St
St Louis Park, MN 55426-4209

Phone

(952) 222-3578

NPI assigned

Jun 24, 2009

Last updated

Jul 5, 2022By the provider in NPPES

Sex

Female

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

Indiana University - School of Optometry, 2009

Medicare assignment

May accept Medicare assignment

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Icare Family Vision PLC

  • Optometrist
  • St Louis Park, MN
  • NPI 1003359597
  Medicare reassignment NPD Authorized official
• Spectacle Shoppe Inc.

  dba The Spectacle Shoppe Inc.

  • Optometrist
  • Minneapolis, MN
  • NPI 1386965770
  NPD (past)

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

{
    "created_epoch": "1245801600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1656979200000",
    "number": "1760610174",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6900 W LAKE ST",
            "city": "ST LOUIS PARK",
            "state": "MN",
            "postal_code": "554264209",
            "telephone_number": "952-222-3578"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6900 W LAKE ST",
            "city": "ST LOUIS PARK",
            "state": "MN",
            "postal_code": "554264209",
            "telephone_number": "952-222-3578"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "ELIZABETH",
        "middle_name": "M",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-06-24",
        "last_updated": "2022-07-05",
        "certification_date": "2022-07-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MN",
            "license": "3225",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alvin Johnson
• Angela Marie Johnson, P.T.
• Anna Lynn Johnson, APRN CNP
• Blake A Johnson, MD
• Christopher Johnson, MD
• Elliot Mohr Johnson, MD
• Heather J Johnson, PSYD
• Jeffrey Randall Johnson, MD
• Jennifer Yun Johnson, LIC. AC., MAOM
• Jodie Johnson

• Optometrist in St Louis Park, MN
• Providers in St Louis Park, MN by specialty
• Optometrist in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 5, 2022; 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.