Individual provider Active NPI

Johnson CHI an Co, OD

  • Optometrist
  • Tucson, AZ
National Provider Identifier
1801371554
Registry record updated Jun 1, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OPT-002308 Issued in AZ
Practice address
7396 N la Cholla Blvd
Tucson, AZ 85741-2305
Phone
(520) 229-1554
Fax
(520) 229-1702
NPI assigned
Sep 28, 2018
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 1, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OPT-002308 AZ Primary

Addresses

Primary practice location

7396 N la Cholla Blvd
Tucson, AZ 85741-2305

Mailing address

5800 W Arizona Pavilions Dr Unit 1392
Cortaro, AZ 85652-2955
Phone (714) 791-8016

Other practice location 1

4040 N Oracle Rd
Tucson, AZ 85705-2720
Phone (520) 408-3216

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA, AZ2 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
I20191219000517 CA Practitioner - Optometry 1850725144 Reassigns benefits to 1 organization
I20220915001647 AZ Practitioner - Optometry 1850725144 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Pima Eye Institute PCGroup PAC ID 5496730780, 3 clinicians

Practice addresses (Care Compare)

7396 N la Cholla Blvd
Tucson, AZ 85741-2305
Phone (520) 229-1554

Merit-based Incentive Payment System (MIPS)

Final score
93.98 of 100Reported as group
Quality
100
Improvement activities
40
Cost
79.93

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
OPT-002308AZMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
St Lucia Eye Center Medical Corp Optometrist CurrentSince Oct 21, 2019 Accepting new patients
Pima Eye Institute PC CurrentSince Jun 2, 2025 Accepting new patients
Hodges Eye Care & Surgical Center, Inc. CurrentSince Aug 1, 2022 Accepting new patients

Locations

1884 E Innovation Park Dr
Oro Valley, AZ 85755
Phone (520) 229-1554

7396 N La Cholla Blvd
Tucson, AZ 85741
Phone (520) 229-1554

1502 N Tucson Blvd
Tucson, AZ 85716
Phone (520) 326-4321

2746 E Florence Ave
Huntington Pk, CA 90255
Phone (323) 583-4567

Interoperability endpoints

  • Direct secure messaging: csm104pcs@m1077.primeclinicalsystems.direct-ci.com
  • Direct secure messaging: johnson.co@hodgeseyecare.direct.eyemdemr.com

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1538092800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1748736000000",
    "number": "1801371554",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5800 W ARIZONA PAVILIONS DR UNIT 1392",
            "city": "CORTARO",
            "state": "AZ",
            "postal_code": "856522955",
            "telephone_number": "714-791-8016"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7396 N LA CHOLLA BLVD",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857412305",
            "telephone_number": "520-229-1554",
            "fax_number": "520-229-1702"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4040 N Oracle Rd",
            "address_purpose": "LOCATION",
            "city": "Tucson",
            "state": "AZ",
            "postal_code": "857052720",
            "country_code": "US",
            "telephone_number": "520-408-3216",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CO",
        "first_name": "JOHNSON",
        "middle_name": "CHI AN",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-09-28",
        "last_updated": "2025-06-01",
        "certification_date": "2025-06-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "AZ",
            "license": "OPT-002308",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tucson, AZ

Sources for this page

Verify at the official NPI Registry.