Leonidas A Johnson, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

8254 Issued in CA

Practice address

12812 Western Ave
Blue Island, IL 60406-2118

Phone

(708) 385-0013

NPI assigned

Mar 20, 2007

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

Medicare fee-for-service enrollment

Enrolled in CA, IL2 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

Specialty

Optometry

Education

Southern California College of Optometry, 1985

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Clinica de Salud del Valle de SalinasGroup PAC ID 3678513736, 34 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: leonidas.johnsonod.p1@direct.csvs.nextgenshare.com

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.

• The Vision Salon, LTD.

  • Optometrist
  • Blue Island, IL
  • NPI 1487727046
  Medicare reassignment NPD
• Clinica de Salud del Valle de Salinas

  • Federally Qualified Health Center (FQHC)
  • Gonzalez, CA
  • NPI 1689048241
  Care Compare group NPD
• Clinica de Salud del Valle de Salinas

  • Federally Qualified Health Center (FQHC)
  • Salinas, CA
  • NPI 1477694263
  Medicare reassignment
• Clinica de Salud del Valle de Salinas

  • Federally Qualified Health Center (FQHC)
  • Salinas, CA
  • NPI 1588601041
  NPD
• Cavales Asthma Allergy Medical Clinic,Inc

  • Specialist
  • Cudahy, CA
  • NPI 1144382938
  NPD (past)

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

{
    "created_epoch": "1174348800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757548800000",
    "number": "1912022641",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5333 N SHERIDAN RD APT 26D",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606407323",
            "telephone_number": "909-772-8567"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12812 WESTERN AVE",
            "city": "BLUE ISLAND",
            "state": "IL",
            "postal_code": "604062118",
            "telephone_number": "708-385-0013"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "LEONIDAS",
        "middle_name": "A",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-03-20",
        "last_updated": "2025-09-11",
        "certification_date": "2021-10-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "8254",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Petrina F Jackson, M.S., CCC-SLP
• Julie A Jansky, PHARM D
• Faheem M Jesani, D.O.
• Martin Jay Joffe, MD
• Ansel T Johnson, OD
• Corine Jones
• Gina Jones, LMT
• Jessica Jones
• Julieta Jones, RN, BSN
• Khalil Jones

• Optometrist in Blue Island, IL
• Providers in Blue Island, IL by specialty
• Optometrist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 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.