Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1881665073 Individual Practitioner Male Practitioner

Dr. Mark D. Johnson , OD

Optometrist • Scott Afb, IL

Professional Overview & Biography Verified Profile Summary

Dr. Mark Johnson, OD is a registered healthcare professional specializing in Optometrist in Scott Afb, IL. Practice services are available at 310 W LOSEY ST under active NPI credentials.

Frequently performed procedures and clinical services include established patient complete exam of visual system, established patient outpatient office visit, imaging of optic nerve. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

310 W Losey St

Scott Afb, IL 62225

Telephone 6182566267
Fax 6182567931
Associated Practice Facility / Clinic
🏢 375th Medgrp-Scott Facility NPI 1851373161

Specialty Benchmarks & Practice Insights

Comparative analytics for Optometrist in Scott Afb, IL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 22.8 Yrs
Regional Practice Density
2 Specialists

Practicing in Scott Afb, IL (2783 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
28.6% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
92014 Established patient complete exam of visual system
13 13 $165.00 $117.77

Medical Specialties & State Licenses

Optometrist Primary Specialty

NUCC Taxonomy Code: 152W00000X

State License IL 046010751

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

NUCC Taxonomy Code: 152W00000X

State License IN 18002934A

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.

Practice Associates & Co-Workers

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

6 Associated Practitioners
Dawn Wilson , PT

Physical Therapist

NPI 1013996818

Physical Therapist

Dr. Donald Swierenga , DDS

Dentist - General Practice

NPI 1467430306

Doctor of Dental Surgery

Dr. Michael Conners , DDS

Dentist - General Practice

NPI 1477519593

Doctor of Dental Surgery

Tameka Chalmers

Counselor - Mental Health

NPI 1568567865
NPI 1689611576

Doctor of Chiropractic

Deborah Henry , PA-C

Physician Assistant

NPI 1790762557

Physician Assistant (Certified)

Career & Practice History Timeline

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

7 Historical Events
📍
Updated Practice Location August 08, 2018

Registered at 310 W LOSEY ST, SCOTT AFB, IL 62225 (Tel: 6182566267)

NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

📍
Updated Practice Location July 08, 2007

Registered at 310 W LOSEY ST, SCOTT AFB, IL 622255250 (Tel: 6182566267)

📍
Updated Business Mailing Address July 08, 2007

Registered at 310 W LOSEY ST, SCOTT AFB, IL 622255250 (Tel: 6182567361)

👤
Provider Name / Credentials Updated July 08, 2007

Recorded as MARK JOHNSON, OD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Optometrist (License #18002934A in IN)

🟢
Initial NPI Registration & Enumeration January 27, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

0 Reviews
No patient reviews submitted yet for Dr. Mark Johnson. Be the first to share your experience!

Sign in to leave a review for Dr. Mark Johnson

Only verified registered users can submit ratings, post feedback, and upload facility photos.

NPI Administrative Meta

NPI Number: 1881665073
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: January 27, 2006
Last Update: August 08, 2018
Sole Proprietor: No

Mailing Address

310 W Losey St

Scott Afb, IL 622255250

Phone: 6182567361

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.