JODIE J JOHNSON O.D.
NPI 1629001474
Optometrist - Occupational Vision in Riverton, UT

Active since July 07, 2006PECOS EnrolledAccepts Medicare Assignment
2364 W 12600 S, SUITE E, RIVERTON, UT 84065(801) 446-7600(801) 446-0912 Get Directions Write a Review

NPPES record last updated: September 11, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Jodie J Johnson O.d. NPPES

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

JODIE J JOHNSON O.D. (NPI 1629001474) is an individual occupational vision provider in Riverton, Utah, licensed in Utah (330094-9934) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS and is a graduate of Pacific University - College Of Optometry (1996).

NPPES Registry Identity

NPI1629001474
Entity TypeIndividualMale
Primary Taxonomy152WX0102X
Provider Legal NameJODIE J JOHNSONCredential: O.D.
Location Address2364 W 12600 S, SUITE ERiverton, UT 84065-7109
Mailing Address2364 W 12600 S, Suite ERiverton, UT 84065-7109 · (801) 446-7600 · Fax (801) 446-0912
Fax(801) 446-0912
Sole ProprietorNo
Medical School CMSPacific University - College Of OptometryGraduated 1996
Enumeration DateJuly 7, 2006
Last NPPES UpdateSeptember 11, 2025
NPI 1629001474 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 7

Primary SpecialtyOptometrist · Occupational VisionEye and Vision Services Providers
Taxonomy Code152WX0102X
License Licensed in UT · 330094-9934
Definition
Optometrists who work in Occupational Vision, the branch of environmental optometry, consider all aspects of the relationship between work and vision, visual performances, eye safety, and health.
Also ListedOptometristTaxonomy 152W00000X · License 963300949934 (UT)
Also ListedOptometrist · Corneal and Contact ManagementTaxonomy 152WC0802X · License 330094-9934 (UT)
Also ListedOptometrist · Low Vision RehabilitationTaxonomy 152WL0500X · License 3300949934 (UT)
Also ListedOptometrist · PediatricsTaxonomy 152WP0200X · License 330094-9934 (UT)
Also ListedOptometrist · Sports VisionTaxonomy 152WS0006X · License 330094-9934 (UT)
Also ListedOptometrist · Vision TherapyTaxonomy 152WV0400X · License 330094-9934 (UT)
2364 W 12600 S, Riverton, UT 84065

Accepted 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

Jodie J Johnson O.d. 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 ID5193741569
PECOS Enrollment IDI20051015000155
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.

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
28 services25 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 84065 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
$125.70 typical visit price
range $54.34 – $166.03
Typical copayment $31.42 (range $13.58 – $41.50)
Most-billed visit code 99204
Established Patient
$68.01 typical visit price
range $17.23 – $135.20
Typical copayment $17.00 (range $4.30 – $33.80)
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.

Chiropractor
2364 W 12600 S
RIVERTON, UT 84065
Chiropractor
2364 W 12600 S
RIVERTON, UT 84065
Dentist (General Practice)
2364 W 12600 S, STE 1A
RIVERTON, UT 84065
Specialist
2364 W 12600 S
RIVERTON, UT 84065
Dentist (General Practice)
2364 W 12600 S, SUITE F
RIVERTON, UT 84065
Specialist
2364 W 12600 S
RIVERTON, UT 84065
Dentist (Pediatric Dentistry)
2364 W 12600 S
RIVERTON, UT 84065

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 Jodie Johnson's NPI number?

The NPI number for Jodie Johnson is 1629001474. It was assigned to this individual provider in the NPPES registry on July 7, 2006.

Where is Jodie Johnson located?

Jodie Johnson practices at 2364 W 12600 S Suite E, Riverton, UT 84065. The listed phone number is (801) 446-7600.

What is Jodie Johnson's specialty?

The primary specialty registered for this NPI is Optometrist, specializing in Occupational Vision, with taxonomy code 152WX0102X.

Is Jodie Johnson enrolled in Medicare?

Yes. Jodie Johnson 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 Jodie Johnson accept?

Health plans from Blue Cross Blue Shield of Wyoming, Blue Cross and Blue Shield of Louisiana, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas and 4 other insurers list Jodie 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 Jodie Johnson was last updated on September 11, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 months 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.