DR. MARIANNE JOHNSON (O.D.) – Optometrist, NPI 1376900555

DR. MARIANNE JOHNSON (O.D.) is a healthcare provider. based in Murfreesboro, Tennessee. specializing in OPTOMETRY. They hold the professional credentials O.D.. They hold a License No. 2001DT (KY). The NPI Number for DR. MARIANNE JOHNSON (O.D.) is 1376900555

Main info

Female
11 Years Of Experience
Name
DR. MARIANNE JOHNSON (O.D.)
NPI
1376900555
Phone
(615) 893-8847
Address
129 E CLARK BLVD
Enumeration Date
20 January 2016
Last Update Date
17 April 2019

Doctor Profile

Medical School Name
UNIVERSITY ALABAMA BIRMINGHAM - SCHOOL OF OPTOMETRY
Secondary Phone
6153318688
Graduation Year
2015 (11 years ago)
PAC ID
8325330343
Group Practice PAC ID
7517170012
Professional Enrollment ID
I20161107000938
Address ID
TN372115806NA5429XPIKE300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience43
Completeness75
Years active:10State licenses:2Digital endpointsOther names

957 OPTOMETRY in TN

Provider Addresses for DR. MARIANNE JOHNSON (O.D.)

  • 129 E CLARK BLVD

    Apt 28303

    MURFREESBORO, TN 371302112

    Phone: (615) 893-8847

    Type: Location

  • West End Avenue, Nashville, Davidson County, Tennessee, 37205, United States

    NASHVILLE, TN 372032528

    Phone: (615) 321-8881

    Type: Location

  • 129, East Clark Boulevard, Murfreesboro, Rutherford County, Tennessee, 37130, United States

    APT 28303

    MURFREESBORO, TN 371302112

    Phone: (615) 893-8847

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 17 Open Payments records for all available years, with a total value of $702.

Total Amount is formed as General ($702) + Research ($0) + Ownership ($0) = $702.

Last reported payment date: 2024-10-22 • Largest payer in this snapshot: Alcon Vision LLC ($420).

Total Amount

$702

General + Research + Ownership

Payments

17

Total payment records

General Amount

$702

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-10-22

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: 2016-11-07

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
I20161107000938IOptometryTNTBD

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 37130)

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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: 7517170012View full group profile
NameSpecialtyState
O P T O M E T R YTN
-TN
O P T O M E T R YTN
O P T O M E T R YTN

Reviews

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Frequently asked questions

How is DR. MARIANNE JOHNSON (O.D.) identified in CMS data?
CMS-hosted NPPES data lists DR. MARIANNE JOHNSON (O.D.) with NPI 1376900555.
Does CMS list DR. MARIANNE JOHNSON (O.D.) as active?
Yes — DR. MARIANNE JOHNSON (O.D.) is active in the NPI listing used on this page.
What taxonomy line describes DR. MARIANNE JOHNSON (O.D.)?
For research purposes, treat DR. MARIANNE JOHNSON (O.D.) as Optometrist in this dataset. Clinical services aligned with this taxonomy classification.
What area does DR. MARIANNE JOHNSON (O.D.) serve?
DR. MARIANNE JOHNSON (O.D.)'s listing highlights Murfreesboro, Tennessee; more addresses can appear in NPPES.
Is the information about DR. MARIANNE JOHNSON (O.D.) up to date?
Data updates when providers file changes in NPPES — treat critical facts as "verify if unsure."

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