DR. STEPHANIE L JOHNSON (O.D.) – Optometrist, NPI 1467673814
Optometrist
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
2,056 OPTOMETRY in FL
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Provider Addresses for DR. STEPHANIE L JOHNSON (O.D.)
96166 DOWLING DR
YULEE, FL 320976317
Phone: (904) 237-7997
Fax: (904) 503-2615
Type: Mailing
4476 GRAY HAWK ST
ORANGE PARK, FL 320652672
Phone: (904) 237-7997
Fax: (904) 503-2615
Type: Mailing
The UPS Store, 7749, Normandy Boulevard, Jacksonville, Duval County, Florida, 32221, United States
SUITE 121
JACKSONVILLE, FL 322217657
Phone: (904) 374-5501
Fax: (904) 503-2615
Type: Location
464016 STATE ROAD 200
YULEE, FL 320976339
Phone: (904) 504-3953
Fax: (904) 261-8330
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 5 Open Payments records for all available years, with a total value of $373.
Total Amount is formed as General ($373) + Research ($0) + Ownership ($0) = $373.
Last reported payment date: 2024-09-12 • Largest payer in this snapshot: Johnson & Johnson Vision Care, Inc. ($188).
Total Amount
$373
General + Research + Ownership
Payments
5
Total payment records
General Amount
$373
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-09-12
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Johnson & Johnson Vision Care, Inc. | $188 |
| Bausch & Lomb Americas Inc. | $116 |
| BIOTISSUE HOLDINGS, INC. | $69 |
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: 2013-12-20
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20131220001682 | I | Optometry | FL | TBD |
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.
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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 32097)
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