DR. TAMMY JOHNSON (O.D.) – Optometrist, NPI 1407973175

DR. TAMMY JOHNSON (O.D.) is a healthcare provider. based in Fort myers, Florida. specializing in OPTOMETRY. They hold the professional credentials O.D.. They hold a License No. OPC5464 (FL). The NPI Number for DR. TAMMY JOHNSON (O.D.) is 1407973175

Main info

Female
28 Years Of Experience
Accepts Medicare Assignment
Name
DR. TAMMY JOHNSON (O.D.)
NPI
1407973175
Phone
(239) 418-0999
Address
9617 Gulf Research Ln
Enumeration Date
26 March 2007
Last Update Date
6 March 2026

Doctor Profile

Medical School Name
INDIANA UNIVERSITY - SCHOOL OF OPTOMETRY
Secondary Phone
2394180999
Graduation Year
1998 (28 years ago)
PAC ID
0648396069
Group Practice PAC ID
9234039140
Professional Enrollment ID
I20180625002903
Address ID
FL339073632FO12731BLVD400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience62
Completeness85
Years active:19State licenses:1Digital endpointsOther names

2,055 OPTOMETRY in FL

Provider Addresses for DR. TAMMY JOHNSON (O.D.)

  • 9617 Gulf Research Ln

    Fort Myers, FL 339124560

    Phone: (239) 418-0999

    Fax: (239) 418-0091

    Type: Location

  • 12731 NEW BRITTANY BLVD

    FORT MYERS, FL 339073632

    Phone: (239) 215-6931

    Fax: (239) 274-0773

    Type: Mailing

  • 9617 GULF RESEARCH LN

    FORT MYERS, FL 339124560

    Phone: (239) 418-0999

    Fax: (239) 418-0091

    Type: Mailing

  • 2301 DEL PRADO BLVD S STE 630

    CAPE CORAL, FL 339906623

    Phone: (239) 542-4123

    Type: Location

  • 3515 DEL PRADO BLVD S UNIT 4

    CAPE CORAL, FL 33904

    Phone: (239) 542-4123

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 31 Open Payments records for all available years, with a total value of $829.

Total Amount is formed as General ($829) + Research ($0) + Ownership ($0) = $829.

Last reported payment date: 2024-11-07 • Largest payer in this snapshot: Sun Pharmaceutical Industries Inc. ($222).

Total Amount

$829

General + Research + Ownership

Payments

31

Total payment records

General Amount

$829

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-11-07

Latest reported date

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: 2018-06-25

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
I20180625002903IOptometryFLTBD

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
92134Imaging of retina572521$0
92014Established patient complete exam of visual system334332$0
99213Established patient office or other outpatient visit, 20-29 minutes267225$0
99214Established patient office or other outpatient visit, 30-39 minutes237185$0
92133Imaging of optic nerve158147$0
View full utilization report →

Insurance plans in this area (ZIP 33912)

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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: 9234039140View full group profile
NameSpecialtyState
O P T O M E T R YFL
O P H T H A L M O L O G YFL
O P T O M E T R YFL
O P H T H A L M O L O G YFL
Physician AssistantFL
O P H T H A L M O L O G YFL
O P H T H A L M O L O G YFL
Physician AssistantFL
Plastic And Reconstructive SurgeryFL
O P T O M E T R YFL

Reviews

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Frequently asked questions

What is DR. TAMMY JOHNSON (O.D.)'s NPI number?
DR. TAMMY JOHNSON (O.D.)'s NPI is 1407973175 — the number used across U.S. healthcare to identify this provider.
Active or inactive — what applies to DR. TAMMY JOHNSON (O.D.)?
You should see DR. TAMMY JOHNSON (O.D.) as active in CMS-hosted NPPES data.
What kind of doctor is DR. TAMMY JOHNSON (O.D.)?
DR. TAMMY JOHNSON (O.D.) is associated with Optometrist in the directory — Clinical services aligned with this taxonomy classification.
Where in Florida is DR. TAMMY JOHNSON (O.D.) registered?
Use Fort Myers, Florida as the headline location for DR. TAMMY JOHNSON (O.D.) here.
Can I trust this NPI listing for DR. TAMMY JOHNSON (O.D.)?
The listing is sourced from the national NPI registry. If something looks off, compare with NPPES and the clinic's website.

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