Dennis M Johnson, O.D.P.C.

Primary specialty

OptometristTaxonomy code 152W00000X

License

4901004062 Issued in MI

Practice address

5908 Eastman Ave
Midland, MI 48640-6748

Phone

(989) 636-7200

Fax

(989) 636-7210

NPI assigned

Sep 22, 2006

Last updated

May 2, 2008By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in MI

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

Illinois College of Optometry at Chicago, 2000

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Dennis M. Johnson O.D. P.C.Group PAC ID 0244308070, 3 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

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.

• Dennis M Johnson OD PC

  • Optometrist
  • Midland, MI
  • NPI 1568613198
  Medicare reassignment Care Compare group NPD Authorized official
• Midland Eye Care, PLC

  • Optometrist
  • Midland, MI
  • NPI 1770826885
  Authorized official Same address or phone

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

{
    "created_epoch": "1158883200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1209686400000",
    "number": "1871692905",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5908 EASTMAN AVE",
            "city": "MIDLAND",
            "state": "MI",
            "postal_code": "486406748",
            "telephone_number": "989-636-7200",
            "fax_number": "989-636-7210"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5908 EASTMAN AVE",
            "city": "MIDLAND",
            "state": "MI",
            "postal_code": "486406748",
            "telephone_number": "989-636-7200",
            "fax_number": "989-636-7210"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "DENNIS",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "O.D.P.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-22",
        "last_updated": "2008-05-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MI",
            "license": "4901004062",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "9OOE610410",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4358533",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jodi Lynn Harwood (Artichoke Heart Counseling)
• John L Carter III DDS
• Anoob John
• Audra Johnson
• Christine M Johnson, CRNA
• Donald A Johnson
• Erin Johnson, LLMSW
• Holly Johnson
• Jessica Johnson
• Merissa Rene Johnson, M.A., CCC-SLP

• Optometrist in Midland, MI
• Providers in Midland, MI by specialty
• Optometrist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 2008; 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.