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Active NPI 1356791545 Individual Practitioner Male Practitioner

Dr. Shane M Johnston , OD

Optometrist • Mesa, AZ

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Shane Johnston, OD is a certified Optometrist practicing in Mesa, AZ. With approximately 10 years of clinical experience since completing medical education in 2016, Dr. Johnston delivers high-quality medical care to the local community at 1940 S COUNTRY CLUB DR STE 102.

Dr. Johnston is affiliated with Kirk T Reed O D P C and accepts Medicare assignment.

Practice Location & Contact Primary Location

Practice Address

1940 S Country Club Dr Ste 102

Mesa, AZ 852106042

Telephone 4808346367
Fax 4808347277
Associated Practice Facility / Clinic

Medicare Profile & Education

Medical School

Other

Graduation Year

2016

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Optometrist in Mesa, AZ

Established Specialist (10-20 Yrs)
Practitioner Clinical Experience
10 Yrs -9.1 yrs vs City Avg
City Avg: 19.1 Yrs
State Avg: 20.2 Yrs
Regional Practice Density
101 Specialists

Practicing in Mesa, AZ (1373 Statewide)

Telehealth Adoption Rate
2.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Johnston (10 Years) 10 Yrs
Mesa Specialty Average (19.1 Years) 19.1 Yrs

Medical Specialties & State Licenses

CMS Verified: 2026-06-05
Optometrist Primary Specialty

NUCC Taxonomy Code: 152W00000X

State License AZ 2108

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.

Optometrist - Sports Vision

NUCC Taxonomy Code: 152WS0006X

State License AZ 2108

An optometrist who offers services designed to care for unique vision care needs of athletes, which may include one of more of the following services: corrective vision care unique to a specific sporting environment; protective eyewear for the prevention of sports-related injuries; vision enhancement - which may include vision therapy and techniques to improve visual skills specific to the athlete's sport.

Hospital & Practice Group Affiliations

Kirk T Reed O D P C

20715 E Ocotillo Rd, Queen Creek, AZ 851426118

Phone: 4809873400

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

3 Associated Practitioners
NPI 1003814419

Doctor of Optometry

NPI 1265688402

Doctor of Optometry

NPI 1831932391

Doctor of Optometry

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

9 Historical Events
📍
Updated Practice Location June 05, 2026

Registered at 1940 S COUNTRY CLUB DR STE 102, MESA, AZ 852106042 (Tel: 4808346367)

📍
Updated Business Mailing Address June 05, 2026

Registered at 8614 WESTWOOD CENTER DR FL 9, VIENNA, VA 221822442 (Tel: 7038478899)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) June 05, 2026

Optometrist (License #2108 in AZ)

NPI Profile Active June 20, 2016

NPI status registered as active in NPPES database

📍
Updated Practice Location June 20, 2016

Registered at 7014 E CAMELBACK RD, SUITE #590, SCOTTSDALE, AZ 852511227 (Tel: 4808400333)

📍
Updated Business Mailing Address June 20, 2016

Registered at 11333 N 92ND ST, #1001, SCOTTSDALE, AZ 852606106 (Tel: 6236887310)

👤
Provider Name / Credentials Updated June 20, 2016

Recorded as SHANE JOHNSTON, O.D.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) June 20, 2016

Optometrist (License #2108 in AZ)

🟢
Initial NPI Registration & Enumeration June 17, 2016

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1356791545
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 17, 2016
Last Update: June 05, 2026
Sole Proprietor: No

Mailing Address

8614 Westwood Center Dr Fl 9

Vienna, VA 221822442

Phone: 7038478899

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.