BRUCE L JOHNSON (O.D.) – Optometrist, NPI 1710919634

BRUCE L JOHNSON (O.D.) is a healthcare provider. based in Dalton, Georgia. specializing in OPTOMETRY. They hold the professional credentials O.D.. They hold a License No. OPT001333 (GA). The NPI Number for BRUCE L JOHNSON (O.D.) is 1710919634

Main info

Male
34 Years Of Experience
Accepts Medicare Assignment
Name
BRUCE L JOHNSON (O.D.)
NPI
1710919634
Phone
(706) 278-0518
Address
1008 RIVERBURCH PKWY
Enumeration Date
7 July 2006
Last Update Date
29 March 2011

Doctor Profile

Medical School Name
UNIVERSITY ALABAMA BIRMINGHAM - SCHOOL OF OPTOMETRY
Secondary Phone
7062780518
Graduation Year
1992 (34 years ago)
PAC ID
4183641772
Group Practice PAC ID
1850318270
Professional Enrollment ID
I20051103000688
Address ID
GA307218630DA1008XPKWY300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

958 OPTOMETRY in GA

Provider Addresses for BRUCE L JOHNSON (O.D.)

  • 1008 RIVERBURCH PKWY

    DALTON, GA 307218630

    Phone: (706) 278-0518

    Fax: (706) 275-9715

    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 15 Open Payments records for all available years, with a total value of $302.

Total Amount is formed as General ($302) + Research ($0) + Ownership ($0) = $302.

Last reported payment date: 2024-12-17 • Largest payer in this snapshot: Alcon Vision LLC ($122).

Total Amount

$302

General + Research + Ownership

Payments

15

Total payment records

General Amount

$302

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-17

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: 2005-11-03

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
I20051103000688IOptometryGATBD

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
66984Removal of cataract with insertion of prosthetic lens4,05030$0
92014Established patient complete exam of visual system236234$0
99214Established patient office or other outpatient visit, 30-39 minutes162111$0
92250Photography of the retina142139$0
99213Established patient office or other outpatient visit, 20-29 minutes12893$0
View full utilization report →

Insurance plans in this area (ZIP 30721)

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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: 1850318270View full group profile
NameSpecialtyState
O P T O M E T R YGA

Reviews

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Frequently asked questions

Does BRUCE L JOHNSON (O.D.) share an NPI with anyone else?
NPI numbers are unique to each provider or organization — BRUCE L JOHNSON (O.D.) uses 1710919634.
Does the file indicate BRUCE L JOHNSON (O.D.) is practicing under active NPI?
Directory data currently reports BRUCE L JOHNSON (O.D.) as active.
What healthcare role does BRUCE L JOHNSON (O.D.) hold?
Scheduling teams often label BRUCE L JOHNSON (O.D.) under Optometrist. Clinical services aligned with this taxonomy classification.
Where should I expect BRUCE L JOHNSON (O.D.) on a map?
Expect Dalton, Georgia as a primary anchor for BRUCE L JOHNSON (O.D.) unless the record lists multiple sites.
Why does BRUCE L JOHNSON (O.D.) have multiple addresses?
2 practice locations appear in the available data. Multiple addresses are common for hospital privileges, telehealth, or multi-site groups.

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