DAVID A JOHNSON (OD) – Optometrist, NPI 1386669075

DAVID A JOHNSON (OD) is a healthcare provider. based in Urbana, Illinois. specializing in OPTOMETRY. They hold the professional credentials OD. They hold a License No. 046009048 (IL). The NPI Number for DAVID A JOHNSON (OD) is 1386669075

Main info

Male
29 Years Of Experience
Accepts Medicare Assignment
Name
DAVID A JOHNSON (OD)
NPI
1386669075
Phone
(217) 383-6792
Address
611 W. PARK ST.
Enumeration Date
13 July 2006
Last Update Date
26 May 2015

Doctor Profile

Medical School Name
ILLINOIS COLLEGE OF OPTOMETRY AT CHICAGO
Secondary Phone
2179022300
Graduation Year
1997 (29 years ago)
PAC ID
7618934456
Group Practice PAC ID
3577515774
Professional Enrollment ID
I20041214000487
Address ID
IL618223743CH3103XDRXX400
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

1,715 OPTOMETRY in IL

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Provider Addresses for DAVID A JOHNSON (OD)

  • Carle Foundation Hospital, 611, West Park Street, Urbana, Champaign County, Illinois, 61801, United States

    BWPC

    URBANA, IL 618012500

    Phone: (217) 383-6792

    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 23 Open Payments records for all available years, with a total value of $535.

Total Amount is formed as General ($535) + Research ($0) + Ownership ($0) = $535.

Last reported payment date: 2024-09-26 • Largest payer in this snapshot: Novartis Pharmaceuticals Corporation ($136).

Total Amount

$535

General + Research + Ownership

Payments

23

Total payment records

General Amount

$535

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-09-26

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: 2004-12-14

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
I20041214000487IOptometryILTBD

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
99213Established patient office or other outpatient visit, 20-29 minutes246222$0
92014Established patient complete exam of visual system103103$0
99203New patient office or other outpatient visit, 30-44 minutes8686$0
99214Established patient office or other outpatient visit, 30-39 minutes6666$0
92134Imaging of retina6663$0
View full utilization report →

Insurance plans in this area (ZIP 61801)

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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: 3577515774View full group profile
NameSpecialtyState
G A S T R O E N T E R O L O G YIL
Nurse PractitionerIL
Clinical PsychologistIL
-FL
Nurse PractitionerIL
Gastroenterology, Internal MedicineWI
P O D I A T R YIL
Hospitalist, Family PracticeTX
Diagnostic RadiologyNY
-IL

Reviews

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Frequently asked questions

Does DAVID A JOHNSON (OD) share an NPI with anyone else?
NPI numbers are unique to each provider or organization — DAVID A JOHNSON (OD) uses 1386669075.
Is DAVID A JOHNSON (OD) still practicing?
DAVID A JOHNSON (OD) is currently listed as active in the public NPI registry.
What is DAVID A JOHNSON (OD) best known for clinically?
Directory data describes DAVID A JOHNSON (OD) with Optometrist. Clinical services aligned with this taxonomy classification.
Where should I expect DAVID A JOHNSON (OD) on a map?
Expect Urbana, Illinois as a primary anchor for DAVID A JOHNSON (OD) unless the record lists multiple sites.
Why does DAVID A JOHNSON (OD) 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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