Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1629848791 Individual Practitioner Female Practitioner

Amy Lyn Johnson , ABO

Technician/Technologist - Optician • Blaine, MN

Professional Overview & Biography Verified Profile Summary

Amy Johnson, ABO is a registered healthcare professional specializing in Technician/Technologist - Optician in Blaine, MN. Practice services are available at 11505 ULYSSES ST NE under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

11505 Ulysses St Ne

Blaine, MN 554344239

Telephone 7633545399
Associated Practice Facility / Clinic
🏢 Walmart Inc. Facility NPI 1205273984

Specialty Benchmarks & Practice Insights

Comparative analytics for Technician/Technologist - Optician in Blaine, MN

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 10.2 Yrs
Regional Practice Density
2 Specialists

Practicing in Blaine, MN (57 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2024-01-08
Technician/Technologist - Optician Primary Specialty

NUCC Taxonomy Code: 156FX1800X

State License MN 202432

Opticians help fit eyeglasses and contact lenses, following prescriptions from Ophthalmologists and Optometrists. They also help customers decide which eyeglass frame or contact lenses to buy.

Practice Associates & Co-Workers

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

1 Associated Practitioners
Tamara Hendrickson , ABO, NCLE

Technician/Technologist - Optician

NPI 1689365736

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active January 08, 2024

NPI status registered as active in NPPES database

📍
Updated Practice Location January 08, 2024

Registered at 11505 ULYSSES ST NE, BLAINE, MN 554344239 (Tel: 7633545399)

📍
Updated Business Mailing Address January 08, 2024

Registered at 11505 ULYSSES ST NE, BLAINE, MN 554344239

👤
Provider Name / Credentials Updated January 08, 2024

Recorded as AMY JOHNSON, ABO

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) January 08, 2024

Technician/Technologist (License #202432 in MN)

🟢
Initial NPI Registration & Enumeration January 08, 2024

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: 1629848791
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: January 08, 2024
Last Update: January 08, 2024
Sole Proprietor: Yes

Mailing Address

11505 Ulysses St Ne

Blaine, MN 554344239

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.