Active NPI
Johnson CHI an Co, OD
- Optometrist
- Tucson, AZ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- OPT-002308
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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, AZ
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Optometry
- Education
- Other, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
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 100
- Quality
- 100
- Improvement activities
- 40
- Cost
- 79.93
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OPT-002308 | AZ | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| St Lucia Eye Center Medical Corp | Optometrist | Current | Accepting new patients |
| Pima Eye Institute PC | Current | Accepting new patients | |
| Hodges Eye Care & Surgical Center, Inc. | Current | 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
- csm104pcs@m1077.primeclinicalsystems.direct-ci.com
- 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.
-
- Ophthalmology Physician
- Tucson, AZ
- NPI 1740351253
-
- Specialist
- Tucson, AZ
- NPI 1770797631
-
- Ophthalmology Physician
- Huntington Park, CA
- NPI 1699783506
Optometrist
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 1, 2025; 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.