DR. SAVANNAH J JOHNSON OD
NPI 1962737049
Optometrist in Waite Park, MN
About Dr. Savannah J Johnson Od NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. SAVANNAH J JOHNSON OD (NPI 1962737049) is an individual optometrist in Waite Park, Minnesota, licensed in Minnesota (3280) and active in the NPI registry since October 2009. She is enrolled in Medicare PECOS and maintains a secondary practice location in Wayzata.
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Location 1
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Dr. Savannah J Johnson Od is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Savannah Johnson reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Eagan, MN 55122
- Reassigned Medicare billing, Minnesota enrollment
- 79 clinicians in this Medicare group
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 56387 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 7
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Savannah Johnson's NPI number?
The NPI number for Savannah Johnson is 1962737049. It was assigned to this individual provider in the NPPES registry on October 7, 2009.
Where is Savannah Johnson located?
Savannah Johnson practices at 206 Division St, Waite Park, MN 56387. The listed phone number is (320) 253-0365.
What is Savannah Johnson's specialty?
The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.
Is Savannah Johnson enrolled in Medicare?
Yes. Savannah Johnson is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Savannah Johnson's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Savannah Johnson reassigns Medicare benefits to Eagan Eye Clinic LLC (Eagan, 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 Savannah 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 Savannah Johnson was last updated on February 20, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.
# Dr. Savannah J Johnson, OD · NPI 1962737049
Optometrist provider in Waite Park, Minnesota. Individual provider, active in the CMS NPPES registry since October 7, 2009.
## Identity
- **NPI:** 1962737049 (Entity type: Individual)
- **Enumerated:** October 7, 2009
- **Primary specialty:** Optometrist · taxonomy 152W00000X
- **State license:** 3280 (Minnesota)
- **Sole proprietor:** No
## Practice location
- **Address:** 206 DIVISION ST, Waite Park, MN 56387
- **Phone:** (320) 253-0365 · **Fax:** (844) 372-1032
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health
- **Bills Medicare through:** Eagan Eye Clinic LLC (NPI 1477732337, Eagan, MN), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** February 20, 2019
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Source: [NPI Profile](https://npiprofile.com/npi/1962737049) · Data from the CMS NPPES public registry.