DR. JEFFREY DEAN JOHNSTON (O.D.) – Optometrist, NPI 1508856105

DR. JEFFREY DEAN JOHNSTON (O.D.) is a healthcare provider. based in Lapeer, Michigan. specializing in OPTOMETRY. They hold the professional credentials O.D.. They hold a License No. 4901004090 (MI). The NPI Number for DR. JEFFREY DEAN JOHNSTON (O.D.) is 1508856105

Main info

Male
31 Years Of Experience
Accepts Medicare Assignment
Name
DR. JEFFREY DEAN JOHNSTON (O.D.)
NPI
1508856105
Phone
(810) 664-5991
Address
1315 N MONROE ST
Enumeration Date
25 October 2005
Last Update Date
26 August 2008

Doctor Profile

Medical School Name
ILLINOIS COLLEGE OF OPTOMETRY AT CHICAGO
Secondary Phone
8107243937
Graduation Year
1995 (31 years ago)
PAC ID
8527049592
Group Practice PAC ID
6103807169
Professional Enrollment ID
I20080516000620
Address ID
MI484441345IM518XXSTXX401
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

1,212 OPTOMETRY in MI

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Provider Addresses for DR. JEFFREY DEAN JOHNSTON (O.D.)

  • 1315, North Monroe Street, Lapeer, Lapeer County, Michigan, 48446, United States

    LAPEER, MI 484461484

    Phone: (810) 664-5991

    Type: Mailing

  • 129, West Nepessing Street, Lapeer, Lapeer County, Michigan, 48446, United States

    LAPEER, MI 484462102

    Phone: (810) 664-3937

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 12 Open Payments records for all available years, with a total value of $280.

Total Amount is formed as General ($280) + Research ($0) + Ownership ($0) = $280.

Last reported payment date: 2024-10-14 • Largest payer in this snapshot: Johnson & Johnson Vision Care, Inc. ($189).

Total Amount

$280

General + Research + Ownership

Payments

12

Total payment records

General Amount

$280

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-10-14

Latest reported date

Top Companies

Largest payers in this snapshot

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: 2008-05-16

PECOS data refreshed: 2026-06-15

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
I20080516000620IOptometryMITBD

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 system6059$0
92004New patient complete exam of visual system2929$0
View full utilization report →

Insurance plans in this area (ZIP 48446)

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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: 6103807169View full group profile
NameSpecialtyState
O P T O M E T R YMI
O P T O M E T R YMI
O P T O M E T R YMI
O P T O M E T R YMI
O P T O M E T R YNY
O P T O M E T R YMI

Reviews

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Frequently asked questions

Can I cross-check DR. JEFFREY DEAN JOHNSTON (O.D.) using NPI 1508856105?
NPI 1508856105 belongs to DR. JEFFREY DEAN JOHNSTON (O.D.); compare other details if you need extra assurance.
Active or inactive — what applies to DR. JEFFREY DEAN JOHNSTON (O.D.)?
You should see DR. JEFFREY DEAN JOHNSTON (O.D.) as active in CMS-hosted NPPES data.
What kind of doctor is DR. JEFFREY DEAN JOHNSTON (O.D.)?
DR. JEFFREY DEAN JOHNSTON (O.D.) is associated with Optometrist in the directory — Clinical services aligned with this taxonomy classification.
Is DR. JEFFREY DEAN JOHNSTON (O.D.) located near Lapeer?
DR. JEFFREY DEAN JOHNSTON (O.D.) currently maps to Lapeer, Michigan in this extract.
What does 2 location(s) imply?
2 practice locations appear in the available data.

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