Jordan S Johnson, MD

Primary specialty

Retina Specialist (Ophthalmology) PhysicianTaxonomy code 207WX0107X

License

32660 Issued in OK

Practice address

9821 S May Ave Ste C
Oklahoma City, OK 73159-7042

Phone

(405) 691-0505

Fax

(405) 691-0507

NPI assigned

Apr 30, 2011

Last updated

Dec 8, 2025By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in OK

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Ophthalmology

Education

Louisiana State University School of Medicine in Shreveport, 2011

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Retina Consultants of Oklahoma PLLCGroup PAC ID 7719160472, 4 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Summit Medical Center, LLC Hospital, Edmond, OK, CCN 370225

Merit-based Incentive Payment System (MIPS)

Final score

100 of 100Reported as group

Quality

98.38

Improvement activities

40

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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.

• Retina Consultants of Oklahoma PLLC

  • Ophthalmology Physician
  • Oklahoma City, OK
  • NPI 1215245014
  Medicare reassignment Care Compare group NPD
• Sherry Eye Clinic, P.C.

  • Ophthalmology Physician
  • Ardmore, OK
  • NPI 1497762165
  NPD (past)
• Summit Medical Center

  • General Acute Care Hospital
  • Edmond, OK
  • NPI 1356574560
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Summit Medical Center

  • General Acute Care Hospital
  • Edmond, OK
  • NPI 1356574560
  Care Compare affiliation

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

{
    "created_epoch": "1304121600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1765152000000",
    "number": "1851682470",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3037 NW 63RD ST STE W251",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731163637",
            "telephone_number": "405-691-0505",
            "fax_number": "405-691-0507"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9821 S MAY AVE STE C",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731597042",
            "telephone_number": "405-691-0505",
            "fax_number": "405-691-0507"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2408 N Commerce St",
            "address_purpose": "LOCATION",
            "city": "Ardmore",
            "state": "OK",
            "postal_code": "734011356",
            "country_code": "US",
            "telephone_number": "405-691-0505",
            "fax_number": "405-691-0507",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3311 W Rock Creek Rd Ste 120",
            "address_purpose": "LOCATION",
            "city": "Norman",
            "state": "OK",
            "postal_code": "730722455",
            "country_code": "US",
            "telephone_number": "405-691-0505",
            "fax_number": "405-691-0507",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3366 NW Expressway Ste 670",
            "address_purpose": "LOCATION",
            "city": "Oklahoma City",
            "state": "OK",
            "postal_code": "731124416",
            "country_code": "US",
            "telephone_number": "405-691-0505",
            "fax_number": "405-691-0507",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "JORDAN",
        "middle_name": "S",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-04-30",
        "last_updated": "2025-12-08",
        "certification_date": "2025-12-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207WX0107X",
            "taxonomy_group": "",
            "desc": "Ophthalmology, Retina Specialist",
            "state": "OK",
            "license": "32660",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200707220A",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jill Petra Johnson, BHRS
• Joan Craft Johnson
• John Mark Johnson
• Joncia Johnson, M.ED., M.P.A
• Jordan Elizabeth Johnson, PA-C
• Joseph Elijah Johnson
• Juli Johnson, APRN,CNS
• Julie Johnson
• Katharine Elzabeth Johnson, RBT
• Kathryn Johnson, DO

• Retina Specialist (Ophthalmology) Physician in Oklahoma City, OK
• Providers in Oklahoma City, OK by specialty
• Retina Specialist (Ophthalmology) Physician in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 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.

Verify at the official NPI Registry.