DOUGLAS GORDON JOHNSON (O.D.) – Optometrist, NPI 1114925773

DOUGLAS GORDON JOHNSON (O.D.) is a healthcare provider. based in Largo, Florida. specializing in OPTOMETRY. They hold the professional credentials O.D.. They hold a License No. OPC1753 (FL). The NPI Number for DOUGLAS GORDON JOHNSON (O.D.) is 1114925773

Main info

Male
46 Years Of Experience
Accepts Medicare Assignment
Name
DOUGLAS GORDON JOHNSON (O.D.)
NPI
1114925773
Phone
(727) 581-8706
Address
148 13TH ST SW
Enumeration Date
8 July 2005
Last Update Date
2 May 2013

Doctor Profile

Medical School Name
NEW ENGLAND COLLEGE OF OPTOMETRY
Secondary Phone
7275818706
Graduation Year
1980 (46 years ago)
PAC ID
2062544190
Group Practice PAC ID
5092629071
Professional Enrollment ID
I20100724000208
Address ID
FL337703127LA148XXSWXX400
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

2,055 OPTOMETRY in FL

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Provider Addresses for DOUGLAS GORDON JOHNSON (O.D.)

  • 148, 13th Street Southwest, Largo, Pinellas County, Florida, 33770, United States

    LARGO, FL 337703127

    Phone: (727) 581-8706

    Fax: (727) 586-3743

    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 2 Open Payments records for all available years, with a total value of $68.

Total Amount is formed as General ($68) + Research ($0) + Ownership ($0) = $68.

Last reported payment date: 2024-08-13 • Largest payer in this snapshot: GENZYME CORPORATION ($50).

Total Amount

$68

General + Research + Ownership

Payments

2

Total payment records

General Amount

$68

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-08-13

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: 2010-07-24

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
I20100724000208IOptometryFLTBD

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 system494488$0
99213Established patient office or other outpatient visit, 20-29 minutes156121$0
92004New patient complete exam of visual system5959$0
92285Photography of content of eyes4644$0
92012Established patient problem focused exam of visual system2929$0
View full utilization report →

Insurance plans in this area (ZIP 33770)

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Provider's Procedures

DOUGLAS GORDON JOHNSON (O.D.) performs procedures in OPTOMETRY. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
OPTOMETRYFL92012Eye and medical examination for diagnosis and treatment, established patient8885
OPTOMETRYFL92083Measurement of field of vision during daylight conditions6462

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: 5092629071View full group profile
NameSpecialtyState
-FL
O P H T H A L M O L O G YFL
-FL
-FL
O P H T H A L M O L O G YWA
O P T O M E T R YFL
O P T O M E T R YFL
O P T O M E T R YFL
Physician AssistantFL
O P T O M E T R YFL

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Frequently asked questions

What federal number belongs to DOUGLAS GORDON JOHNSON (O.D.)?
The federal identifier for DOUGLAS GORDON JOHNSON (O.D.) is NPI 1114925773.
Is DOUGLAS GORDON JOHNSON (O.D.) currently active in the NPI registry?
CMS-published data lists DOUGLAS GORDON JOHNSON (O.D.) as an active registrant.
Can you summarize DOUGLAS GORDON JOHNSON (O.D.)'s specialty in plain language?
Clinically, the directory lists DOUGLAS GORDON JOHNSON (O.D.) with Optometrist. Clinical services aligned with this taxonomy classification.
Where does public data place DOUGLAS GORDON JOHNSON (O.D.)?
The snapshot lists Largo, Florida for DOUGLAS GORDON JOHNSON (O.D.); download NPPES for the complete set.
What if Largo, Florida seems incomplete?
Street-level detail can be omitted — open the full address list for this NPI.

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