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JESSICA MARIE JOHNSON O.D.
NPI 1457582389
Optometrist in Decatur, IL

Active since July 27, 2009PECOS Enrolled
3035 E MOUND RD, DECATUR, IL 62526(217) 554-3000 Get Directions Write a Review

NPPES record last updated: December 17, 2012. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Jessica Marie Johnson O.d. NPPES

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

JESSICA MARIE JOHNSON O.D. (NPI 1457582389) is an individual optometrist in Decatur, Illinois, licensed in Illinois (046010220) and active in the NPI registry since July 2009. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1457582389
Entity TypeIndividualFemale
Primary Taxonomy152W00000X
Provider Legal NameJESSICA MARIE JOHNSONCredential: O.D.
Location Address3035 E MOUND RDDecatur, IL 62526-9650
Mailing Address3035 E Mound RdDecatur, IL 62526-9650 · (217) 554-3000
Phone(217) 554-3000
Sole ProprietorNo
Enumeration DateJuly 27, 2009
Last NPPES UpdateDecember 17, 2012
✔ NPI 1457582389 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 IL · 046010220
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.
3035 E MOUND RD, Decatur, IL 62526
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jessica Marie 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 62526 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
$127.46 typical visit price
range $54.80 – $168.44
Typical copayment $31.86 (range $13.70 – $42.11)
Most-billed visit code 99204
Established Patient
$68.64 typical visit price
range $17.16 – $136.56
Typical copayment $17.16 (range $4.29 – $34.14)
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 7

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

VETERAN'S ADMINISTRATION
Clinic/Center (Federally Qualified Health Center (FQHC))
3035 E MOUND RD
DECATUR, IL 62526
Macon County (217) 875-2670
AMBER TERESA CLARK LCSW
Social Worker (Clinical)
3035 E MOUND RD
DECATUR, IL 62526
Macon County (217) 554-3000
JANET L. WHITEHEAD L.C.S.W.
Social Worker (Clinical)
3035 E MOUND RD
DECATUR, IL 62526
Macon County (217) 875-2670
MRS. KERRI ANN DIXON APN
Nurse Practitioner (Family)
3035 E MOUND RD
DECATUR, IL 62526
Macon County (217) 875-7700
DEPARTMENT OF VETERANS AFFAIRS
Clinic/Center (VA)
3035 E MOUND RD
DECATUR, IL 62526
Macon County (217) 875-2670
KATHRYN F FAIR PHD
Psychologist
3035 E MOUND RD
DECATUR, IL 62526
Macon County (217) 554-3000
DR. ASHLEY THAIS PHARMD
Pharmacist (Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist)
3035 E MOUND RD, DECATUR CBOC
DECATUR, IL 62526
Macon County (217) 875-2670

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 Jessica Johnson's NPI number?

The NPI number for Jessica Johnson is 1457582389. It was assigned to this individual provider in the NPPES registry on July 27, 2009.

Where is Jessica Johnson located?

Jessica Johnson practices at 3035 E Mound Rd, Decatur, IL 62526. The listed phone number is (217) 554-3000.

What is Jessica Johnson's specialty?

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

Is Jessica Johnson enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Jessica Johnson was last updated on December 17, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.