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TREVOR JOHNSON OD
NPI 1669217212
Optometrist in Rochester, MN

Active since June 26, 2024PECOS EnrolledAccepts Medicare Assignment
1630 CENTER ST W, ROCHESTER, MN 55902(507) 316-0770(507) 701-0730 Get Directions Write a Review

NPPES record last updated: June 26, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Trevor Johnson Od NPPES

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

TREVOR JOHNSON OD (NPI 1669217212) is an individual optometrist in Rochester, Minnesota, licensed in Minnesota (3926) and active in the NPI registry since June 2024. He is enrolled in Medicare PECOS and is a graduate of Other (2024).

NPPES Registry Identity

NPI1669217212
Entity TypeIndividualMale
Primary Taxonomy152W00000X
Provider Legal NameTREVOR JOHNSONCredential: OD
Location Address1630 CENTER ST WRochester, MN 55902-0346
Mailing Address1630 Center St WRochester, MN 55902-0346 · (507) 316-0770 · Fax (507) 701-0730
Phone(507) 316-0770
Fax(507) 701-0730
Sole ProprietorNo
Medical School CMSOtherGraduated 2024
Enumeration DateJune 26, 2024
NPPES CertifiedJune 26, 2024
✔ NPI 1669217212 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 MN · 3926
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.
1630 CENTER ST W, Rochester, MN 55902
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Medica, Providence Health Plan.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

Trevor Johnson 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 ID5991242976
PECOS Enrollment IDI20240808001140
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 55902 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
$127.61 typical visit price
range $56.00 – $168.28
Typical copayment $31.90 (range $14.00 – $42.07)
Most-billed visit code 99204
Established Patient
$69.74 typical visit price
range $18.32 – $138.04
Typical copayment $17.43 (range $4.58 – $34.51)
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 2

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

TOTAL VISION EYECARE, PLLC
Optometrist
1630 CENTER ST W
ROCHESTER, MN 55902
Olmsted County (570) 218-9357
BRIANNA GRACE DOYLE OD
Optometrist
1630 CENTER ST W
ROCHESTER, MN 55902
Olmsted County (507) 316-0770

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 Trevor Johnson's NPI number?

The NPI number for Trevor Johnson is 1669217212. It was assigned to this individual provider in the NPPES registry on June 26, 2024.

Where is Trevor Johnson located?

Trevor Johnson practices at 1630 Center St W, Rochester, MN 55902. The listed phone number is (507) 316-0770.

What is Trevor Johnson's specialty?

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

Is Trevor Johnson enrolled in Medicare?

Yes. Trevor 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 Trevor Johnson accept?

Health plans from Medica and Providence Health Plan list Trevor 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 Trevor Johnson was last updated on June 26, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.