DR. DELESIE PETRIC JOHNSON O.D.
NPI 1003032970
Optometrist in San Antonio, TX

Q: What is Delesie Johnson's NPI number?

The NPI number for Delesie Johnson is 1003032970. It was assigned to this individual provider in the NPPES registry on April 18, 2007. The provider is also known as Mrs. Delesie Petric Johnson O.D..

Q: What is Delesie Johnson's specialty?

The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.

Q: When was this NPI record last updated?

The NPPES record for Delesie Johnson was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since April 18, 2007PECOS Enrolled

9307 FOXGROVE WAY, SAN ANTONIO, TX 78251(210) 523-5276(210) 523-5276 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: October 25, 2026.

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About Dr. Delesie Petric Johnson O.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. DELESIE PETRIC JOHNSON O.D. (NPI 1003032970) is an individual optometrist in San Antonio, Texas, licensed in Texas (4493T) and active in the NPI registry since April 2007. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1003032970

Entity TypeIndividualFemale

Primary Taxonomy152W00000X

Provider Legal NameDR. DELESIE PETRIC JOHNSONCredential: O.D.

Location Address9307 FOXGROVE WAYSan Antonio, TX 78251-4107

Mailing Address9307 Foxgrove WaySan Antonio, TX 78251-4107 · (210) 523-5276 · Fax (210) 523-5276

Phone(210) 523-5276

Fax(210) 523-5276

Sole ProprietorYes

Enumeration DateApril 18, 2007

Last NPPES UpdateJuly 8, 2007

✔ NPI 1003032970 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOptometristEye and Vision Services Providers

Taxonomy Code152W00000X

License✔ Licensed in TX · 4493T

Definition

Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system.

9307 FOXGROVE WAY, San Antonio, TX 78251

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Other Names 1

Professional Name (2)Mrs. Delesie Petric Johnson O.d.

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Louisiana, Blue Cross and Blue Shield of Montana and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Delesie Petric Johnson O.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Delesie Johnson reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Provider Profile

13 mi

Optometrist

2500 FUNSTON ROAD
Jbsa Ft Sam Houston, TX 78234

Reassigned Medicare billing, Texas enrollment

NPI 1649478819 (210) 223-1104

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 78251 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$126.40 typical visit price

range $54.84 – $166.88

Typical copayment $31.60 (range $13.71 – $41.72)

Most-billed visit code 99204

Established Patient

$68.55 typical visit price

range $17.52 – $136.11

Typical copayment $17.13 (range $4.38 – $34.02)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Delesie Johnson's NPI number?

The NPI number for Delesie Johnson is 1003032970. It was assigned to this individual provider in the NPPES registry on April 18, 2007. The provider is also known as Mrs. Delesie Petric Johnson O.D..

Where is Delesie Johnson located?

Delesie Johnson practices at 9307 Foxgrove Way, San Antonio, TX 78251. The listed phone number is (210) 523-5276.

What is Delesie Johnson's specialty?

The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.

Is Delesie Johnson enrolled in Medicare?

Yes. Delesie Johnson is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Delesie Johnson's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Delesie Johnson reassigns Medicare benefits to (Jbsa Ft Sam Houston, TX). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Delesie Johnson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Delesie Johnson accept?

Health plans from Anthem Blue Cross and Blue Shield, Blue Cross Blue Shield of Wyoming, Blue Cross and Blue Shield of Louisiana, Blue Cross and Blue Shield of Montana and Blue Cross and Blue Shield of Oklahoma and 2 other insurers list Delesie Johnson as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Delesie Johnson was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.