MR. MICHAEL JOEL JOHNSON (O.D.) – Optometrist, NPI 1780710459
Optometrist
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
879 OPTOMETRY in MN
Provider Addresses for MR. MICHAEL JOEL JOHNSON (O.D.)
3410 ROSEWOOD LN N
PLYMOUTH, MN 554412202
Phone:
Type: Mailing
570 NORTHTOWN DR NE
BLAINE, MN 554341043
Phone: (763) 784-4081
Type: Location
570 Northtown Dr NE
Blaine, MN 554341043
Phone: (763) 784-4081
Type: Location
6099 WAYZATA BLVD
ST LOUIS PARK, MN 554165538
Phone: (952) 204-5060
Type: Location
3900 PARK NICOLLET BLVD
ST LOUIS PARK, MN 554162505
Phone: (952) 993-3150
Type: Location
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 $359.
Total Amount is formed as General ($359) + Research ($0) + Ownership ($0) = $359.
Last reported payment date: 2024-07-08 • Largest payer in this snapshot: Alcon Vision LLC ($150).
Total Amount
$359
General + Research + Ownership
Payments
15
Total payment records
General Amount
$359
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-07-08
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Alcon Vision LLC | $150 |
| RxSight Inc | $79 |
| Oyster Point Pharma, Inc. | $34 |
| Glaukos Corporation | $30 |
| Novartis Pharmaceuticals Corporation | $24 |
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: 2007-05-03
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20070503000404 | I | Optometry | MN | TBD |
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.
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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 55441)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| O P H T H A L M O L O G Y | MN | |
| O P H T H A L M O L O G Y | MD | |
| O P H T H A L M O L O G Y | MN | |
| O P T O M E T R Y | MN | |
| O P T O M E T R Y | MN | |
| O P T O M E T R Y | MN |
Reviews
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