ANDREW D. JOHNSON, O.D., P.C.
NPI 1235429150
Point of Service in Roswell, NM

Active since April 12, 2011
4500 N MAIN ST, ROSWELL, NM 88201(575) 625-2020(505) 622-7816 Get Directions Write a Review

NPPES record last updated: April 12, 2011. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Andrew D. Johnson, O.d., P.c. NPPES

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

ANDREW D. JOHNSON, O.D., P.C. (NPI 1235429150) is a healthcare organization registered as a point of service in Roswell, New Mexico and active in the NPI registry since April 2011. The organization lists Andrew Daniel Johnson, President/owner, as its authorized official.

NPPES Registry Identity

NPI1235429150
Entity TypeOrganization
Primary Taxonomy305S00000X
Legal Business NameANDREW D. JOHNSON, O.D., P.C.
Location Address4500 N MAIN STRoswell, NM 88201-0305
Mailing Address4500 N Main StRoswell, NM 88201-0305 · (575) 625-2020 · Fax (505) 622-7816
Fax(505) 622-7816
Organization SubpartNo
Authorized OfficialAndrew Daniel JohnsonPresident/owner · (575) 625-2020
Enumeration DateApril 12, 2011
✔ NPI 1235429150 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPoint of ServiceManaged Care Organizations
Taxonomy Code305S00000X
License✔ Licensed in NM · NM0544
Definition
This product may also be called an open-ended HMO and offers a transition product incorporating features of both HMOs and PPOs. Beneficiaries are enrolled in an HMO but have the option to go outside the networks for an additional cost.
4500 N MAIN ST, Roswell, NM 88201

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Andrew D. Johnson, O.d., P.c. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

2

Medicare enrollment records show 2 clinicians reassign Medicare billing to Andrew D. Johnson, O.D., P.C., which bills Medicare for the services they deliver. They are listed nearest first.

Clinicians, nearest first (2)

Optometry
NPI 1801975826
3050 E LOHMAN AVE STE F
Las Cruces, NM 88011
(575) 521-4053
✔ PECOS✔ Accepts Medicare151 mi
Optometry
NPI 1881079002
2222 MONTANA AVE
El Paso, TX 79903
(915) 544-6700
✔ PECOS✔ Accepts Medicare162 mi

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

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 Andrew D. Johnson, O.D., P.C.'s NPI number?

The NPI number for Andrew D. Johnson, O.D., P.C. is 1235429150. It was assigned to this organization in the NPPES registry on April 12, 2011.

Where is Andrew D. Johnson, O.D., P.C. located?

Andrew D. Johnson, O.D., P.C. is located at 4500 N Main St, Roswell, NM 88201. The listed phone number is (575) 625-2020.

What is Andrew D. Johnson, O.D., P.C.'s specialty?

The primary specialty registered for this NPI is Point of Service with taxonomy code 305S00000X.

Is Andrew D. Johnson, O.D., P.C. enrolled in Medicare?

Yes. Andrew D. Johnson, O.D., P.C. is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Andrew D. Johnson, O.D., P.C.?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians, all in Optometry, reassign their Medicare billing to Andrew D. Johnson, O.D., P.C.. 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.

What insurance does Andrew D. Johnson, O.D., P.C. accept?

Health plans from Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and BlueCross BlueShield of Tennessee list Andrew D. Johnson, O.D., P.C. 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 Andrew D. Johnson, O.D., P.C. was last updated on April 12, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.