MR. MICHAEL JOEL JOHNSON O.D.
NPI 1780710459
Optometrist in St Louis Park, MN

Active since February 26, 2007PECOS EnrolledAccepts Medicare Assignment
6099 WAYZATA BLVD, ST LOUIS PARK, MN 55416(952) 204-5060 Get Directions Write a Review

NPPES record last updated: March 9, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Mar 9, 2026, Feb 4, 2021 (2 updates tracked since 2021).

About Mr. Michael Joel Johnson O.d. NPPES

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

MR. MICHAEL JOEL JOHNSON O.D. (NPI 1780710459) is an individual optometrist in St Louis Park, Minnesota, licensed in Minnesota (2818) and active in the NPI registry since February 2007. He is enrolled in Medicare PECOS and is a graduate of Illinois College Of Optometry At Chicago (2001).

NPPES Registry Identity

NPI1780710459
Entity TypeIndividualMale
Primary Taxonomy152W00000X
Provider Legal NameMR. MICHAEL JOEL JOHNSONCredential: O.D.
Location Address6099 WAYZATA BLVDSt Louis Park, MN 55416-5538
Mailing Address3900 Park Nicollet BlvdSt Louis Park, MN 55416-2505 · (952) 993-3150
Sole ProprietorNo
Medical School CMSIllinois College Of Optometry At ChicagoGraduated 2001
Enumeration DateFebruary 26, 2007
Last NPPES UpdateMarch 9, 20262 updates tracked since enumeration
NPPES CertifiedMarch 9, 2026
NPI 1780710459 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 · 2818
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.
6099 WAYZATA BLVD, St Louis Park, MN 55416

Other Identifiers 6

Other531P4JOMN · Bcbs
OtherOP6854MN · Eyemed
OtherHP64503MN · Health Partners
Other133059MN · Ucare
Other22-03338MN · Medica
OtherA01991033717MN · Preferred One

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

Mr. Michael Joel 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 ID5496851735
PECOS Enrollment IDI20070503000404
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 55416 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 6

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

Speech-Language Pathologist
6099 WAYZATA BLVD
SAINT LOUIS PARK, MN 55416
Audiologist
6099 WAYZATA BLVD
ST LOUIS PARK, MN 55416
Audiologist
6099 WAYZATA BLVD, XCHANGE MEDICAL BUILDING, STE 200
ST LOUIS PARK, MN 55416
Audiologist
6099 WAYZATA BLVD
ST LOUIS PARK, MN 55416
Ophthalmology
6099 WAYZATA BLVD
ST LOUIS PARK, MN 55416
Clinic/Center (Ambulatory Surgical)
6099 WAYZATA BLVD
ST LOUIS PARK, MN 55416

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 Michael Johnson's NPI number?

The NPI number for Michael Johnson is 1780710459. It was assigned to this individual provider in the NPPES registry on February 26, 2007.

Where is Michael Johnson located?

Michael Johnson practices at 6099 Wayzata Blvd, St Louis Park, MN 55416. The listed phone number is (952) 204-5060.

What is Michael Johnson's specialty?

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

Is Michael Johnson enrolled in Medicare?

Yes. Michael 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 Michael Johnson accept?

Health plans from Medica list Michael 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 Michael Johnson was last updated on March 9, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.