DR. MICHAEL WAYNE JOHNSON (OD) – Optometrist, NPI 1972583391

DR. MICHAEL WAYNE JOHNSON (OD) is a healthcare provider. based in Sacramento, California. specializing in OPTOMETRY. They hold the professional credentials OD. They hold a License No. 10133T (CA). The NPI Number for DR. MICHAEL WAYNE JOHNSON (OD) is 1972583391

Main info

Male
Sole Proprietor
33 Years Of Experience
Accepts Medicare Assignment
Name
DR. MICHAEL WAYNE JOHNSON (OD)
NPI
1972583391
Phone
(916) 231-0034
Address
5777 GREENBACK LN
Enumeration Date
20 January 2006
Last Update Date
31 July 2012

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9168521600
Graduation Year
1993 (33 years ago)
PAC ID
8921081449
Group Practice PAC ID
4385613595
Professional Enrollment ID
I20040607001624
Address ID
CA956704378GO2200XBLVD301
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

3,909 OPTOMETRY in CA

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Provider Addresses for DR. MICHAEL WAYNE JOHNSON (OD)

  • Greenback Lane, Folsom, Sacramento County, California, 95662, United States

    STE. 100

    SACRAMENTO, CA 958412013

    Phone: (916) 231-0034

    Fax: (916) 231-0038

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 11 Open Payments records for all available years, with a total value of $814.

Total Amount is formed as General ($814) + Research ($0) + Ownership ($0) = $814.

Last reported payment date: 2024-11-15 • Largest payer in this snapshot: Bausch & Lomb Americas Inc. ($273).

Total Amount

$814

General + Research + Ownership

Payments

11

Total payment records

General Amount

$814

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-11-15

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2004-06-07

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20040607001624IOptometryCATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
92014Established patient complete exam of visual system3838$0
92250Photography of the retina2323$0
92004New patient complete exam of visual system1818$0
View full utilization report →

Insurance plans in this area (ZIP 95841)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 4385613595View full group profile
NameSpecialtyState
O P T O M E T R YCA
O P T O M E T R YCA
O P T O M E T R YIL
O P T O M E T R YCA
O P T O M E T R YCA
-CA
-CA
O P T O M E T R YTX
-CA
O P T O M E T R YCA

Reviews

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Frequently asked questions

Can I cross-check DR. MICHAEL WAYNE JOHNSON (OD) using NPI 1972583391?
NPI 1972583391 belongs to DR. MICHAEL WAYNE JOHNSON (OD); compare other details if you need extra assurance.
Is DR. MICHAEL WAYNE JOHNSON (OD) shown as active in public data?
Registry records indicate DR. MICHAEL WAYNE JOHNSON (OD) maintains an active NPI.
What clinical focus is listed for DR. MICHAEL WAYNE JOHNSON (OD)?
At a glance, DR. MICHAEL WAYNE JOHNSON (OD) is tied to Optometrist. Clinical services aligned with this taxonomy classification.
Is DR. MICHAEL WAYNE JOHNSON (OD) located near Sacramento?
DR. MICHAEL WAYNE JOHNSON (OD) currently maps to Sacramento, California in this extract.
When was this NPI issued?
Enumeration for DR. MICHAEL WAYNE JOHNSON (OD) is noted as January 20, 2006 where the registry provides it.

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