DR. MELINDA D JOHNSON (O.D.) – Optometrist, NPI 1063678704

DR. MELINDA D JOHNSON (O.D.) is a healthcare provider. based in Vienna, Virginia. specializing in OPTOMETRY. They hold the professional credentials O.D.. They hold a License No. 1565-597T (LA). The NPI Number for DR. MELINDA D JOHNSON (O.D.) is 1063678704

Main info

Female
18 Years Of Experience
Accepts Medicare Assignment
Name
DR. MELINDA D JOHNSON (O.D.)
NPI
1063678704
Phone
(703) 847-8899
Address
8614 WESTWOOD CENTER DR FL 9
Enumeration Date
1 August 2008
Last Update Date
14 April 2025

Doctor Profile

Medical School Name
SOUTHERN COLLEGE OF OPTOMETRY
Secondary Phone
8174812070
Graduation Year
2008 (18 years ago)
PAC ID
1658447735
Group Practice PAC ID
4082952874
Professional Enrollment ID
I20140115001425
Address ID
TX760927603SO1247XSTXX300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience67
Completeness75
Years active:17State licenses:2Digital endpointsOther names

3,129 OPTOMETRY in TX

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

  • 8614 WESTWOOD CENTER DR FL 9

    VIENNA, VA 221822442

    Phone: (703) 847-8899

    Type: Mailing

  • 831 STILLWATER RD

    WACO, TX 767087066

    Phone: (254) 366-9092

    Type: Mailing

  • 310 EARLY BLVD

    EARLY, TX 768022120

    Phone: (325) 643-1826

    Type: Location

  • Richland Mall, 6001, West Waco Drive, Waco, McLennan County, Texas, 76710, United States

    SUITE 610

    WACO, TX 767106306

    Phone: (254) 772-0761

    Fax: (254) 772-7590

    Type: Mailing

  • 3000 S HULEN ST

    FORT WORTH, TX 761091914

    Phone: (817) 738-2027

    Type: Location

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 $87.

Total Amount is formed as General ($87) + Research ($0) + Ownership ($0) = $87.

Last reported payment date: 2024-10-19 • Largest payer in this snapshot: CooperVision Inc. ($87).

Total Amount

$87

General + Research + Ownership

Payments

1

Total payment records

General Amount

$87

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-10-19

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
CooperVision Inc.$87
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: 2014-01-15

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
I20140115001425IOptometryTXTBD

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
92004New patient complete exam of visual system1313$0
92014Established patient complete exam of visual system1313$0
View full utilization report →

Insurance plans in this area (ZIP 22182)

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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: 4082952874View full group profile
NameSpecialtyState
O P T O M E T R YTX
O P T O M E T R YOK
O P T O M E T R YCA
-TX
O P T O M E T R YTX
-VA
O P T O M E T R YTX
O P T O M E T R YTX
O P T O M E T R YVA
O P T O M E T R YTX

Reviews

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Frequently asked questions

How do payers reference DR. MELINDA D JOHNSON (O.D.)?
For DR. MELINDA D JOHNSON (O.D.), use NPI 1063678704 as the unique 10-digit identifier.
Is there an active status for DR. MELINDA D JOHNSON (O.D.)?
For scheduling context, DR. MELINDA D JOHNSON (O.D.) is shown as active in the registry.
What clinical focus is listed for DR. MELINDA D JOHNSON (O.D.)?
At a glance, DR. MELINDA D JOHNSON (O.D.) is tied to Optometrist. Clinical services aligned with this taxonomy classification.
What locale is associated with DR. MELINDA D JOHNSON (O.D.)?
Directory geography for DR. MELINDA D JOHNSON (O.D.) centers on Vienna, Virginia.
Does DR. MELINDA D 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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