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DR. KARL DAVID JOHANNESSEN OD
NPI 1306863105
Optometrist in Melbourne, FL

Active since July 16, 2006PECOS EnrolledAccepts Medicare Assignment
6300 N WICKHAM RD, UNIT 123, MELBOURNE, FL 32940(321) 751-7270(321) 751-7769 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Karl David Johannessen Od NPPES

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

DR. KARL DAVID JOHANNESSEN OD (NPI 1306863105) is an individual optometrist in Melbourne, Florida, licensed in Florida (OPC 2589) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS and is a graduate of Southern College Of Optometry (1992).

NPPES Registry Identity

NPI1306863105
Entity TypeIndividualMale
Primary Taxonomy152W00000X
Provider Legal NameDR. KARL DAVID JOHANNESSENCredential: OD
Location Address6300 N WICKHAM RD, UNIT 123Melbourne, FL 32940-2028
Mailing AddressPo Box 120759Melbourne, FL 32912-0759 · (321) 298-7339 · Fax (321) 751-7769
Phone(321) 751-7270
Fax(321) 751-7769
Sole ProprietorYes
Medical School CMSSouthern College Of OptometryGraduated 1992
Enumeration DateJuly 16, 2006
Last NPPES UpdateJuly 8, 2007
✔ NPI 1306863105 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 FL · OPC 2589
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.
6300 N WICKHAM RD, Melbourne, FL 32940
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Superior HealthPlan, Ambetter Health, Ambetter of Alabama and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Karl David Johannessen Od is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID4981644416
PECOS Enrollment IDI20050504000693
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 32940 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
$130.04 typical visit price
range $56.00 – $171.84
Typical copayment $32.51 (range $14.00 – $42.96)
Most-billed visit code 99204
Established Patient
$70.04 typical visit price
range $17.57 – $139.16
Typical copayment $17.51 (range $4.39 – $34.79)
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.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

SARA JANE SENGEL PA
Physician Assistant
6300 N WICKHAM RD, SUITE 101
MELBOURNE, FL 32940
Brevard County (321) 253-2169
PHYSICAL REHAB AND MEDICAL ASSOCIATES INC
Physical Therapist
6300 N WICKHAM RD, #116
MELBOURNE, FL 32940
Brevard County (321) 757-6899
WALTER H JOYNER PA
Physician Assistant
6300 N WICKHAM RD, SUITE 101-108
MELBOURNE, FL 32940
Brevard County (321) 253-2169
DAVID W BADOLATO MD
Family Medicine
6300 N WICKHAM RD, STE 101
MELBOURNE, FL 32940
Brevard County (321) 253-2169
DR. STEPHEN K BADOLATO MD
Family Medicine (Sports Medicine)
6300 N WICKHAM RD, STE 101 -108
MELBOURNE, FL 32940
Brevard County (321) 253-2169
LORDONI DISCOUNT PHARMACY INC
Pharmacy (Community/Retail Pharmacy)
6300 N WICKHAM RD, SUITE 126
MELBOURNE, FL 32940
Brevard County (321) 610-3114
ELIZABETH EVANS JENKS
Hearing Instrument Specialist
6300 N WICKHAM RD
MELBOURNE, FL 32940
Brevard County (772) 571-3331
MRS. LISA FRIER COBBS MSN, ARNP, FNP-C
Nurse Practitioner
6300 N WICKHAM RD, STE. 132
MELBOURNE, FL 32940
Brevard County (321) 253-4032

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 Karl Johannessen's NPI number?

The NPI number for Karl Johannessen is 1306863105. It was assigned to this individual provider in the NPPES registry on July 16, 2006.

Where is Karl Johannessen located?

Karl Johannessen practices at 6300 N Wickham Rd Unit 123, Melbourne, FL 32940. The listed phone number is (321) 751-7270.

What is Karl Johannessen's specialty?

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

Is Karl Johannessen enrolled in Medicare?

Yes. Karl Johannessen is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Karl Johannessen accept?

Health plans from Ambetter Health, Ambetter from Superior HealthPlan, Ambetter of Alabama, AvMed and Blue Cross Blue Shield of Wyoming and 5 other insurers list Karl Johannessen 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 Karl Johannessen was last updated on July 8, 2007. NPI Profile syncs with the weekly NPPES data releases published by CMS.