1. Home
  2. Directory
  3. Arkansas
  4. Blytheville
  5. Optometrist
  6. NPI Profile

SCOTT JOHNSON VISIONCARE, P.A.
NPI 1194910950
Optometrist in Blytheville, AR

Active since September 13, 2007
1005 N 6TH ST, BLYTHEVILLE, AR 72315(870) 763-0760(870) 838-1051 Get Directions Write a Review

NPPES record last updated: December 1, 2011. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Scott Johnson Visioncare, P.a. NPPES

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

SCOTT JOHNSON VISIONCARE, P.A. (NPI 1194910950) is a healthcare organization registered as an optometrist in Blytheville, Arkansas and active in the NPI registry since September 2007. The organization lists Scott E Johnson, Optometrist, as its authorized official.

NPPES Registry Identity

NPI1194910950
Entity TypeOrganization
Primary Taxonomy152W00000X
Legal Business NameSCOTT JOHNSON VISIONCARE, P.A.
Location Address1005 N 6TH STBlytheville, AR 72315-1707
Mailing AddressPo Box 1649Blytheville, AR 72316-1649 · (870) 763-0760 · Fax (870) 838-1051
Phone(870) 763-0760
Fax(870) 838-1051
Organization SubpartNo
Authorized OfficialScott E JohnsonOptometrist · (870) 763-0760
Enumeration DateSeptember 13, 2007
Last NPPES UpdateDecember 1, 2011
✔ NPI 1194910950 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 AR · 2479
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.
1005 N 6TH ST, Blytheville, AR 72315
Open in Google Maps ↗

Other Identifiers 5

Medicaid134831722AR
Medicare NSC1225530001AR
Medicare PINDR7097AR
Medicare PIN5G605AR
Medicare UPINU18478AR

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Scott Johnson Visioncare, P.a. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Scott Johnson Visioncare, P.A., which bills Medicare for the services this clinician delivers.

Clinician (1)

Scott Johnson, O.D.
Optometry
NPI 1689640310
1005 N 6TH ST
Blytheville, AR 72315
(870) 763-0760
✔ PECOS✔ Accepts MedicareSame address

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

Medical Equipment Supplier Medicare DMEPOS 2

Medicare supplier enrollment and the product categories Scott Johnson Visioncare, P.A. carries, from the Medicare DMEPOS supplier directory.

Scott Johnson Visioncare, P.A.

DMEPOS supplier · Blytheville, AR
✔

Accepts Medicare assignment

Scott Johnson Visioncare, P.A. agrees to accept the Medicare-approved amount as full payment for covered equipment and supplies. Medicare patients are not billed beyond the standard deductible and coinsurance.

PTAN (Medicare Supplier Number)20630297
Medicare Participant SinceJanuary 1, 2000
Supplier Location1005 N 6th StBlytheville, AR 72315
Phone(870) 763-0760
Supplier Specialties
Optometrist

Medicare Product Categories

Prosthetic Lenses: Conventional Eyeglasses
Conventional Eyeglasses
Prosthetic Lenses: Conventional Contact Lenses
Conventional Contact Lenses
Product categories are from the Medicare DMEPOS supplier directory. Contact the supplier to confirm current availability of specific items.

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 Scott Johnson Visioncare, P.A.'s NPI number?

The NPI number for Scott Johnson Visioncare, P.A. is 1194910950. It was assigned to this organization in the NPPES registry on September 13, 2007.

Where is Scott Johnson Visioncare, P.A. located?

Scott Johnson Visioncare, P.A. is located at 1005 N 6th St, Blytheville, AR 72315. The listed phone number is (870) 763-0760.

What is Scott Johnson Visioncare, P.A.'s specialty?

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

Is Scott Johnson Visioncare, P.A. enrolled in Medicare?

Yes. Scott Johnson Visioncare, P.A. is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Scott Johnson Visioncare, P.A.?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Optometry) reassigns their Medicare billing to Scott Johnson Visioncare, P.A.. A 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 the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Scott Johnson Visioncare, P.A. accept Medicare assignment for medical equipment?

Yes. As a Medicare medical equipment supplier, Scott Johnson Visioncare, P.A. accepts Medicare assignment: the supplier accepts the Medicare-approved amount as payment in full for covered equipment and supplies.

When was this NPI record last updated?

The NPPES record for Scott Johnson Visioncare, P.A. was last updated on December 1, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.