Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1184608200 Individual Practitioner Male Practitioner

Dr. Bryan Lowell Johnson , OD

Optometrist • Rochester, MN

Professional Overview & Biography Verified Profile Summary

Dr. Bryan Johnson, OD is a registered healthcare professional specializing in Optometrist in Rochester, MN. Practice services are available at 3630 11TH AVE NW under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

3630 11th Ave Nw

Rochester, MN 559014276

Telephone 5072882457
Fax 5072881299
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Optometrist in Rochester, MN

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 18.4 Yrs
State Avg: 21.7 Yrs
Regional Practice Density
42 Specialists

Practicing in Rochester, MN (1178 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

Optometrist Primary Specialty

NUCC Taxonomy Code: 152W00000X

State License MN 2090

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
549823700 (MN)
Commercial Insurance / Payer ID Health Partners
HP44093
Commercial Insurance / Payer ID Medica Choice Select
2201134
Commercial Insurance / Payer ID Bcbs Of Mn
4C934J0 (MN)
Commercial Insurance / Payer ID Preferred One
01017733

Practice Associates & Co-Workers

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

5 Associated Practitioners
Dr. Eva So , OD

Optometrist

NPI 1043739089

Doctor of Optometry

NPI 1114339629

Doctor of Optometry

NPI 1356325476

Doctor of Optometry

NPI 1447234554

Doctor of Optometry

NPI 1952385445

Doctor of Optometry

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active May 28, 2009

NPI status registered as active in NPPES database

📍
Updated Practice Location May 28, 2009

Registered at 3630 11TH AVE NW, ROCHESTER, MN 559014276 (Tel: 5072882457)

📍
Updated Business Mailing Address May 28, 2009

Registered at 3630 11TH AVE NW, ROCHESTER, MN 559014276 (Tel: 5072882457)

👤
Provider Name / Credentials Updated May 28, 2009

Recorded as BRYAN JOHNSON, OD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) May 28, 2009

Optometrist (License #2090 in MN)

🟢
Initial NPI Registration & Enumeration December 01, 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: 1184608200
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: December 01, 2005
Last Update: May 28, 2009
Sole Proprietor: No

Mailing Address

3630 11th Ave Nw

Rochester, MN 559014276

Phone: 5072882457

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.