DR. BRYAN L JOHNSON (O.D.) – Optometrist, NPI 1912934035
Optometrist
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
684 OPTOMETRY in OK
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Provider Addresses for DR. BRYAN L JOHNSON (O.D.)
506, East 24th Street, Tishomingo, Johnston County, Oklahoma, 73460, United States
TISHOMINGO, OK 734603214
Phone: (580) 371-2020
Fax: (580) 371-2122
Type: Mailing
698 WESTSIDE DR STE 102
DURANT, OK 747013085
Phone: (580) 795-4447
Type: Mailing
698 WESTSIDE DR
DURANT, OK 747013084
Phone: (580) 795-4447
Fax: (580) 371-2122
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
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: 2024-06-03
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 2 Medicare enrollment records; no due dates published yet.
Enrollment records
2
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 |
|---|---|---|---|---|
| I20101013001168 | I | Optometry | OK | TBD |
| I20240603003280 | I | Optometry | TX | 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.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 92014 | Established patient complete exam of visual system | 11 | 11 | $0 |
Insurance plans in this area (ZIP 73460)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Emergency Medicine | NY | |
| Emergency Medicine | VA | |
| H O S P I T A L I S T | NJ | |
| - | CO | |
| - | NM | |
| - | NM | |
| - | OR | |
| Nurse Practitioner | CA | |
| - | GA | |
| Nurse Practitioner | MS |
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