MR. JOHN JOHNSON (O.D.) – Optometrist, NPI 1194113621

MR. JOHN JOHNSON (O.D.) is a healthcare provider. based in Fort worth, Texas. specializing in OPTOMETRY. They hold the professional credentials O.D.. They hold a License No. 8603 (TX). The NPI Number for MR. JOHN JOHNSON (O.D.) is 1194113621

Main info

Male
12 Years Of Experience
Accepts Medicare Assignment
Name
MR. JOHN JOHNSON (O.D.)
NPI
1194113621
Phone
(817) 761-1716
Address
6224 CAMP BOWIE BLVD
Enumeration Date
7 January 2015
Last Update Date
26 August 2021

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8177611726
Graduation Year
2014 (12 years ago)
PAC ID
6305160003
Group Practice PAC ID
5991123168
Professional Enrollment ID
I20150129001647
Address ID
TX761165525FT6224XBLVD400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience46
Completeness75
Years active:11State licenses:1Digital endpointsOther names

3,145 OPTOMETRY in TX

Provider Addresses for MR. JOHN JOHNSON (O.D.)

  • 6224 CAMP BOWIE BLVD

    FORT WORTH, TX 761165525

    Phone: (817) 761-1716

    Fax: (817) 761-1726

    Type: Mailing

  • 1169 N BURLESON BLVD STE 131

    BURLESON, TX 760287011

    Phone: (785) 845-9655

    Type: Mailing

  • 1169 N Burleson Blvd Ste 131

    Burleson, TX 760287011

    Phone: (785) 845-9655

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 4 Open Payments records for all available years, with a total value of $277.

Total Amount is formed as General ($277) + Research ($0) + Ownership ($0) = $277.

Last reported payment date: 2024-09-19 • Largest payer in this snapshot: Carl Zeiss Meditec USA, Inc. ($134).

Total Amount

$277

General + Research + Ownership

Payments

4

Total payment records

General Amount

$277

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-09-19

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: 2015-01-29

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
I20150129001647IOptometryTXTBD

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
99213Established patient office or other outpatient visit, 20-29 minutes3920$0
92250Photography of the retina2221$0
92014Established patient complete exam of visual system1515$0
92004New patient complete exam of visual system1414$0
View full utilization report →

Insurance plans in this area (ZIP 76116)

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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: 5991123168View full group profile
NameSpecialtyState
O P T O M E T R YVT
O P T O M E T R YTX
O P T O M E T R YTX

Reviews

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Frequently asked questions

What is MR. JOHN JOHNSON (O.D.)'s NPI number?
MR. JOHN JOHNSON (O.D.)'s NPI is 1194113621 — the number used across U.S. healthcare to identify this provider.
Would MR. JOHN JOHNSON (O.D.) appear as active to a payer?
You can treat MR. JOHN JOHNSON (O.D.) as active for directory purposes; confirm clinical privileges separately.
What clinical focus is listed for MR. JOHN JOHNSON (O.D.)?
At a glance, MR. JOHN JOHNSON (O.D.) is tied to Optometrist. Clinical services aligned with this taxonomy classification.
Is MR. JOHN JOHNSON (O.D.) associated with Fort Worth?
Public fields place MR. JOHN JOHNSON (O.D.) around Fort Worth, Texas. Always confirm the exact site before visiting.
Does MR. JOHN JOHNSON (O.D.) accept insurance?
Insurance participation is not part of the core NPI extract — call the plan or office to confirm.

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