BRENT DANIEL JOHNSON (OD) – Optometrist, NPI 1689667875

BRENT DANIEL JOHNSON (OD) is a healthcare provider. based in Blue earth, Minnesota. specializing in Optometrist. They hold the professional credentials OD. They hold a License No. 2195 (MN). The NPI Number for BRENT DANIEL JOHNSON (OD) is 1689667875

Main info

Male
Sole Proprietor
38 Years Of Experience
Accepts Medicare Assignment
Name
BRENT DANIEL JOHNSON (OD)
NPI
1689667875
Phone
(507) 526-2222
Address
435 S GROVE ST
Enumeration Date
24 August 2005
Last Update Date
8 February 2013

Doctor Profile

Medical School Name
UNIVERSITY OF MISSOURI ST LOUIS - SCHOOL OF OPTOMETRY
Secondary Phone
5075262222
Graduation Year
1988 (38 years ago)
PAC ID
2860419215
Group Practice PAC ID
4688691033
Professional Enrollment ID
I20051028000100
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

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Provider Addresses for BRENT DANIEL JOHNSON (OD)

  • 435, South Grove Street, Hillcrest Park Mobile Home Park, Blue Earth, Faribault County, Minnesota, 56013, United States

    SUITE 2

    BLUE EARTH, MN 560132604

    Phone: (507) 526-2222

    Fax: (507) 526-3927

    Type: Location

  • PO BOX 36

    BLUE EARTH, MN 560130036

    Phone: (507) 526-2222

    Fax: (507) 526-3927

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 1 Open Payments records for all available years, with a total value of $58.

Total Amount is formed as General ($58) + Research ($0) + Ownership ($0) = $58.

Last reported payment date: 2024-03-09 • Largest payer in this snapshot: LKC Technologies, Inc. ($58).

Total Amount

$58

General + Research + Ownership

Payments

1

Total payment records

General Amount

$58

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-03-09

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
LKC Technologies, Inc.$58
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: 2005-10-28

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
I20051028000100IOptometryMNTBD

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 lens2,42617$0
92250Photography of the retina394341$0
92014Established patient complete exam of visual system310309$0
99213Established patient office or other outpatient visit, 20-29 minutes239188$0
92273Measurement of retinal and optic nerve function150128$0
View full utilization report →

Insurance plans in this area (ZIP 56013)

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Reviews

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Frequently asked questions

What is BRENT DANIEL JOHNSON (OD)'s NPI number?
BRENT DANIEL JOHNSON (OD)'s NPI is 1689667875 — the number used across U.S. healthcare to identify this provider.
Would BRENT DANIEL JOHNSON (OD) appear as active to a payer?
You can treat BRENT DANIEL JOHNSON (OD) as active for directory purposes; confirm clinical privileges separately.
What clinical focus is listed for BRENT DANIEL JOHNSON (OD)?
At a glance, BRENT DANIEL JOHNSON (OD) is tied to Optometrist. Clinical services aligned with this taxonomy classification.
What locale is associated with BRENT DANIEL JOHNSON (OD)?
Directory geography for BRENT DANIEL JOHNSON (OD) centers on Blue Earth, Minnesota.
When was this NPI issued?
Enumeration for BRENT DANIEL JOHNSON (OD) is noted as August 24, 2005 where the registry provides it.

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