LEONIDAS A JOHNSON OD
NPI 1912022641
Optometrist in Blue Island, IL

Active since March 20, 2007PECOS EnrolledAccepts Medicare Assignment
12812 WESTERN AVE, BLUE ISLAND, IL 60406(708) 385-0013 Get Directions Write a Review

NPPES record last updated: September 11, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Sep 11, 2025, Oct 16, 2021, Jun 30, 2017 (3 updates tracked since 2017).

About Leonidas A Johnson Od NPPES

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

LEONIDAS A JOHNSON OD (NPI 1912022641) is an individual optometrist in Blue Island, Illinois, licensed in California (8254) and active in the NPI registry since March 2007. He is enrolled in Medicare PECOS and is a graduate of Southern California College Of Optometry (1985).

NPPES Registry Identity

NPI1912022641
Entity TypeIndividualMale
Primary Taxonomy152W00000X
Provider Legal NameLEONIDAS A JOHNSONCredential: OD
Location Address12812 WESTERN AVEBlue Island, IL 60406-2118
Mailing Address5333 N Sheridan Rd Apt 26dChicago, IL 60640-7323 · (909) 772-8567
Sole ProprietorYes
Medical School CMSSouthern California College Of OptometryGraduated 1985
Enumeration DateMarch 20, 2007
Last NPPES UpdateSeptember 11, 20253 updates tracked since enumeration
NPPES CertifiedOctober 16, 2021
NPI 1912022641 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 CA · 8254
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.

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

Leonidas A 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 ID1456431485
PECOS Enrollment IDI20181224000171
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 60406 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
$138.86 typical visit price
range $60.08 – $183.39
Typical copayment $34.71 (range $15.02 – $45.84)
Most-billed visit code 99204
Established Patient
$74.80 typical visit price
range $18.97 – $148.12
Typical copayment $18.70 (range $4.74 – $37.03)
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 4

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

Optometrist
12812 WESTERN AVE
BLUE ISLAND, IL 60406
Optometrist
12812 WESTERN AVE
BLUE ISLAND, IL 60406
Optometrist
12812 WESTERN AVE
BLUE ISLAND, IL 60406
Technician/Technologist (Optometric Technician)
12812 WESTERN AVE
BLUE ISLAND, IL 60406

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 Leonidas Johnson's NPI number?

The NPI number for Leonidas Johnson is 1912022641. It was assigned to this individual provider in the NPPES registry on March 20, 2007.

Where is Leonidas Johnson located?

Leonidas Johnson practices at 12812 Western Ave, Blue Island, IL 60406. The listed phone number is (708) 385-0013.

What is Leonidas Johnson's specialty?

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

Is Leonidas Johnson enrolled in Medicare?

Yes. Leonidas 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 Leonidas Johnson accept?

Health plans from Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and Providence Health Plan list Leonidas 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 Leonidas Johnson was last updated on September 11, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.