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Deactivated NPI 1578557443 Deactivated / Inactive NPI Female Practitioner

Dr. Heidi L Johnson , OD

Optometrist • Marquette, MI

✓ Accepts Medicare Assignment
⚠️

Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. Heidi Johnson has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date September 07, 2005
NPI Deactivation Date March 24, 2006
Total Practice Duration ~16 Years of Practice (1990 – 2006)

Professional Overview & Biography Verified Profile Summary

Dr. Heidi Johnson, OD was a registered Optometrist in Marquette, MI. Prior to record deactivation on 2006-03-24, Dr. Johnson completed approximately 16 years of clinical practice following graduation from Ferris State College - College Of Optometry in 1990.

Dr. Johnson was affiliated with Dr Heidi Johnson Od Pc and accepted Medicare assignment.

Historical Medicare Part B clinical services included established patient complete exam of visual system, exam to measure eye deviation and range of motion, imaging of retina. Public procedure reimbursement records and service volume details are provided below for historical transparency.

Practice Location & Contact Primary Location

Practice Address

2822 Venture Dr

Marquette, MI 498558631

Telephone 9062284401
Fax 9062250460
Associated Practice Facility / Clinic
🏢 Dr Heidi Johnson Od Pc Facility NPI 1588680938

Medicare Profile & Education

Medical School

Ferris State College - College Of Optometry

Graduation Year

1990

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Optometrist in Marquette, MI

Senior Veteran Specialist (>20 Yrs)
Practitioner Clinical Experience
36 Yrs +17.2 yrs vs City Avg
City Avg: 18.8 Yrs
State Avg: 21.1 Yrs
Regional Practice Density
13 Specialists

Practicing in Marquette, MI (2032 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
34.0% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Johnson (36 Years) 36 Yrs
Marquette Specialty Average (18.8 Years) 18.8 Yrs

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
129 127 $160.00 $118.46
92060 Exam to measure eye deviation and range of motion
56 47 $105.89 $59.05
92134 Imaging of retina
56 49 $85.27 $37.18
92250 Photography of the retina
41 40 $100.00 $33.94
92083 Exam of visual field with extended testing
36 32 $110.00 $59.04
92004 New patient complete exam of visual system
31 31 $180.00 $140.49
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more
20 20 $130.00 $123.09
92133 Imaging of optic nerve
16 16 $85.00 $32.48
99213 Established patient office or other outpatient visit, typically 15 minutes
14 12 $90.00 $87.21

Medical Specialties & State Licenses

CMS Verified: 2024-04-10
Optometrist Primary Specialty

NUCC Taxonomy Code: 152W00000X

State License MI 4901003354

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 - Corneal and Contact Management

NUCC Taxonomy Code: 152WC0802X

State License MI 4901003354

The professional activities performed by an Optometrist related to the fitting of contact lenses to an eye, ongoing evaluation of the cornea's ability to sustain successful contact lens wear, and treatment of any external eye or corneal condition which can affect contact lens wear.

Optometrist - Low Vision Rehabilitation

NUCC Taxonomy Code: 152WL0500X

State License MI 4901003354

Optometrists who specialize in low-vision care having training to assess visual function, prescribe low-vision devices, develop treatment plans, and recommend other vision rehabilitation services.

Optometrist - Pediatrics

NUCC Taxonomy Code: 152WP0200X

State License MI 4901003354

Optometrists who work in Pediatrics are concerned with the prevention, development, diagnosis, and treatment of visual problems in children.

Optometrist - Sports Vision

NUCC Taxonomy Code: 152WS0006X

State License MI 4901003354

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.

Optometrist - Vision Therapy

NUCC Taxonomy Code: 152WV0400X

State License MI 4901003354

Optometrists who specialize in vision therapy as a treatment process used to improve vision function. It includes a broad range of developmental and rehabilitative treatment programs individually prescribed to remediate specific sensory, motor and/or visual perceptual dysfunctions.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
3115352 (MI)
Commercial Insurance / Payer ID Blue Cross Blue Shield Of
900E265343 (MI)

Hospital & Practice Group Affiliations

Dr Heidi Johnson Od Pc

2822 Venture Dr, Marquette, MI 498558631

Phone: 9062284401

Practice Associates & Co-Workers

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

3 Associated Practitioners
Christina Vandezande , OT

Occupational Therapist

NPI 1043453285

Occupational Therapist

NPI 1518440817

Doctor of Optometry

NPI 1780023234

Doctor of Optometry

Career & Practice History Timeline

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

7 Historical Events
📍
Updated Practice Location September 06, 2011

Registered at 2822 VENTURE DR, MARQUETTE, MI 498558631 (Tel: 9062284401)

📍
Updated Business Mailing Address September 06, 2011

Registered at 2822 VENTURE DR, MARQUETTE, MI 498558631 (Tel: 9062284401)

👤
Provider Name / Credentials Updated September 06, 2011

Recorded as HEIDI JOHNSON, O.D.,

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) September 06, 2011

Optometrist (License #4901003354 in MI)

🔄
NPI Profile Reactivated April 05, 2006

Record officially reactivated for active practice on April 05, 2006

⚠️
NPI Profile Deactivated March 24, 2006

Record deactivated on March 24, 2006

🟢
Initial NPI Registration & Enumeration September 07, 2005

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: 1578557443
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: September 07, 2005
Last Update: April 10, 2024
Deactivation Date: March 24, 2006
Sole Proprietor: No

Mailing Address

2822 Venture Dr

Marquette, MI 498558631

Phone: 9062284401

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.