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

Q: 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.

Q: What is Michael 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 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 7 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.

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: October 18, 2026.

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

On this page

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

Phone(952) 204-5060

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

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Other Identifiers 6

Other531P4JOMN · Bcbs

OtherOP6854MN · Eyemed

OtherHP64503MN · Health Partners

Other133059MN · Ucare

Other22-03338MN · Medica

OtherA01991033717MN · Preferred One

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

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.

Medicare Billing Reassignment

Medicare enrollment records show Michael Johnson reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Ovo Lasik And Lens LLC

Same address

Ophthalmology

6099 WAYZATA BLVD
St Louis Park, MN 55416

Reassigned Medicare billing, Minnesota enrollment
8 clinicians in this Medicare group

NPI 1770259087 (877) 686-3937

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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.

JULIA MARIE JACOBS SLP

Speech-Language Pathologist

6099 WAYZATA BLVD
SAINT LOUIS PARK, MN 55416

Hennepin County (612) 871-1144

KIERSTEN STEINKE AU.D.

Audiologist

6099 WAYZATA BLVD
ST LOUIS PARK, MN 55416

Hennepin County (952) 232-4835

CLAIRE COOTE AU.D., CCC-A

Audiologist

6099 WAYZATA BLVD, XCHANGE MEDICAL BUILDING, STE 200
ST LOUIS PARK, MN 55416

Hennepin County (612) 871-1144

JOSEPHINE GRACE MARINO AUD

Audiologist

6099 WAYZATA BLVD
ST LOUIS PARK, MN 55416

Hennepin County (612) 871-1144

OVO LASIK AND LENS LLC

Ophthalmology

6099 WAYZATA BLVD
ST LOUIS PARK, MN 55416

Hennepin County (877) 686-3937

OVO OBS LLC

Clinic/Center (Ambulatory Surgical)

6099 WAYZATA BLVD
ST LOUIS PARK, MN 55416

Hennepin County (877) 686-3937

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.

Which organization bills Medicare for Michael Johnson's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Michael Johnson reassigns Medicare benefits to Ovo Lasik And Lens LLC (St Louis Park, MN). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Michael Johnson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

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 7 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.