T K JOHNSON (O.D.) – Optometrist, NPI 1073612107

T K JOHNSON (O.D.) is a healthcare provider. based in Midland, Michigan. specializing in OPTOMETRY. They hold the professional credentials O.D.. They hold a License No. 4901002282 (MI). The NPI Number for T K JOHNSON (O.D.) is 1073612107

Main info

Male
Sole Proprietor
58 Years Of Experience
Name
T K JOHNSON (O.D.)
NPI
1073612107
Phone
(989) 636-7200
Address
5908 EASTMAN AVE
Enumeration Date
22 September 2006
Last Update Date
19 March 2012

Doctor Profile

Medical School Name
ILLINOIS COLLEGE OF OPTOMETRY AT CHICAGO
Secondary Phone
9896367200
Graduation Year
1968 (58 years ago)
PAC ID
2860508074
Professional Enrollment ID
I20120413000444
Address ID
MI486406748MI5908XAVEX300
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

1,204 OPTOMETRY in MI

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Provider Addresses for T K JOHNSON (O.D.)

  • 5908, Eastman Avenue, Midland, Midland County, Michigan, 48640, United States

    MIDLAND, MI 486406748

    Phone: (989) 636-7200

    Fax: (989) 636-7210

    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 10 Open Payments records for all available years, with a total value of $374.

Total Amount is formed as General ($374) + Research ($0) + Ownership ($0) = $374.

Last reported payment date: 2024-09-27 • Largest payer in this snapshot: Alcon Vision LLC ($163).

Total Amount

$374

General + Research + Ownership

Payments

10

Total payment records

General Amount

$374

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-09-27

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: 2012-04-13

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
I20120413000444IOptometryMITBD

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 system172168$0
92250Photography of the retina158153$0
99213Established patient office or other outpatient visit, 20-29 minutes5443$0
92202Extended exam of the back part of the eye with optic nerve drawing4645$0
99212Established patient office or other outpatient visit, 10-19 minutes2220$0
View full utilization report →

Insurance plans in this area (ZIP 48640)

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Reviews

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Frequently asked questions

What number should I use to identify T K JOHNSON (O.D.) for billing?
Administrative and clinical systems typically use NPI 1073612107 for T K JOHNSON (O.D.).
Quick check: is T K JOHNSON (O.D.) active?
Public NPPES data shows T K JOHNSON (O.D.) with an active NPI status right now.
What type of care does T K JOHNSON (O.D.) provide?
T K JOHNSON (O.D.)'s profile centers on Optometrist. Clinical services aligned with this taxonomy classification.
What geographic area is tied to T K JOHNSON (O.D.)?
T K JOHNSON (O.D.) is associated with Midland, Michigan in the same public data insurers reference.
Why is information missing for T K JOHNSON (O.D.)?
Providers choose how much contact data to publish. Missing fields do not mean the profile is fake.

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