DR. DALE JOHNSON O.D.
NPI 1629029095
Optometrist in Sault Sainte Marie, MI

Q: What is Dale Johnson's NPI number?

The NPI number for Dale Johnson is 1629029095. It was assigned to this individual provider in the NPPES registry on May 12, 2006.

Q: What is Dale Johnson's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Dale Johnson was last updated on July 29, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.

Active since May 12, 2006PECOS Enrolled

724 CEDAR ST, SAULT SAINTE MARIE, MI 49783(906) 632-2020 Get Directions Write a Review

NPPES record last updated: July 29, 2015. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Dr. Dale Johnson O.d. NPPES

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

DR. DALE JOHNSON O.D. (NPI 1629029095) is an individual optometrist in Sault Sainte Marie, Michigan, licensed in Michigan (4901002749) and active in the NPI registry since May 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1629029095

Entity TypeIndividualMale

Primary Taxonomy152W00000X

Provider Legal NameDR. DALE JOHNSONCredential: O.D.

Location Address724 CEDAR STSault Sainte Marie, MI 49783-2410

Mailing Address724 Cedar StSault Sainte Marie, MI 49783-2410 · (906) 632-2020

Phone(906) 632-2020

Sole ProprietorNo

Enumeration DateMay 12, 2006

Last NPPES UpdateJuly 29, 2015

✔ NPI 1629029095 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 MI · 4901002749

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.

724 CEDAR ST, Sault Sainte Marie, MI 49783

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Other Identifiers 3

OtherDJ002749MI · Bcbs

OtherP31680002MI · Medicare Plus Blue

Medicare PINP31680002MI

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Dale 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 49783 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

$126.15 typical visit price

range $54.34 – $166.68

Typical copayment $31.53 (range $13.58 – $41.67)

Most-billed visit code 99204

Established Patient

$68.07 typical visit price

range $17.09 – $135.40

Typical copayment $17.01 (range $4.27 – $33.85)

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

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

DALE JOHNSON OD LLC

Optometrist (Vision Therapy)

724 CEDAR ST
SAULT SAINTE MARIE, MI 49783

Chippewa County (906) 632-2020

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 Dale Johnson's NPI number?

The NPI number for Dale Johnson is 1629029095. It was assigned to this individual provider in the NPPES registry on May 12, 2006.

Where is Dale Johnson located?

Dale Johnson practices at 724 Cedar St, Sault Sainte Marie, MI 49783. The listed phone number is (906) 632-2020.

What is Dale Johnson's specialty?

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

Is Dale Johnson enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Dale Johnson was last updated on July 29, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.