Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1073591939 Individual Practitioner Female Practitioner

Dr. Carol H Johnson , OD

Optometrist • Minneapolis, MN

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Carol Johnson, OD is a certified Optometrist practicing in Minneapolis, MN. With approximately 39 years of clinical experience since graduating from Pacific University - College Of Optometry in 1987, Dr. Johnson delivers high-quality medical care to the local community at 909 FULTON ST SE.

Dr. Johnson is affiliated with Fairview Express Care and accepts Medicare assignment.

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

Practice Location & Contact Primary Location

Practice Address

909 Fulton St Se

Minneapolis, MN 554554800

Telephone 7637826400
Associated Practice Facility / Clinic

Medicare Profile & Education

Medical School

Pacific University - College Of Optometry

Graduation Year

1987

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Optometrist in Minneapolis, MN

Senior Veteran Specialist (>20 Yrs)
Practitioner Clinical Experience
39 Yrs +20.7 yrs vs City Avg
City Avg: 18.3 Yrs
State Avg: 21.7 Yrs
Regional Practice Density
68 Specialists

Practicing in Minneapolis, MN (1178 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
75.0% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Johnson (39 Years) 39 Yrs
Minneapolis Specialty Average (18.3 Years) 18.3 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
92004 New patient complete exam of visual system
19 19 $588.79 $144.52
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more
17 17 $487.82 $124.69

Medical Specialties & State Licenses

CMS Verified: 2024-01-26
Optometrist Primary Specialty

NUCC Taxonomy Code: 152W00000X

State License MN 2134

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.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
339523500 (MN)

Hospital & Practice Group Affiliations

Fairview Express Care

500 Harvard St Se, Minneapolis, MN 554550363

Phone: 6126727422

Practice Associates & Co-Workers

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

7 Associated Practitioners
Dr. Katherine Axford , PhD

Psychologist - Counseling

NPI 1124910146

Doctor of Philosophy (Ph.D.)

Dr. Milind Junghare , MD

Internal Medicine - Nephrology

NPI 1205020294

Doctor of Medicine (M.D.)

NPI 1295228450

Doctor of Medicine (M.D.)

Jean Wyman , NP

Nurse Practitioner - Gerontology

NPI 1386738995

Nurse Practitioner

Savanna Borne , FNP

Registered Nurse

NPI 1386832103

Family Nurse Practitioner

Claire Keller , CPNP

Registered Nurse - Pediatrics

NPI 1497844328

Certified Pediatric Nurse Practitioner

Career & Practice History Timeline

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

8 Historical Events
📍
Updated Practice Location July 13, 2023

Registered at 909 FULTON ST SE, MINNEAPOLIS, MN 554554800 (Tel: 7637826400)

👤
Provider Name / Credentials Updated July 13, 2023

Recorded as CAROL JOHNSON, OD

NPI Profile Active February 12, 2015

NPI status registered as active in NPPES database

📍
Updated Practice Location February 12, 2015

Registered at 5565 BLAINE AVE, INVER GROVE HEIGHTS, MN 550761238 (Tel: 6512419400)

📍
Updated Business Mailing Address February 12, 2015

Registered at 2925 CHICAGO AVE, MINNEAPOLIS, MN 554071321 (Tel: 6122621166)

👤
Provider Name / Credentials Updated February 12, 2015

Recorded as CAROL LARTER JOHNSON, OD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) February 12, 2015

Optometrist (License #2134 in MN)

🟢
Initial NPI Registration & Enumeration January 02, 2006

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: 1073591939
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: January 02, 2006
Last Update: January 26, 2024
Sole Proprietor: No

Mailing Address

2925 Chicago Ave

Minneapolis, MN 554071321

Phone: 6122621166

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.