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Active NPI 1417991985 Individual Practitioner Female Practitioner

Dr. Linda Johnson , OD

Optometrist • Jackson, MS

✓ Accepts Medicare Assignment
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This profile is compiled from official public domain records provided by CMS and the NPPES registry. TRUE-MEDINFO is an independent reference directory and does not provide medical advice, diagnosis, or treatment recommendations. Always consult a licensed medical professional for personal health decisions.

Professional Overview & Biography Verified Profile Summary

Dr. Linda Johnson, OD is a registered Optometrist practitioner in Jackson, MS. With approximately 48 years of clinical practice since graduating from Indiana University - School Of Optometry in 1978, Dr. Johnson provides healthcare services at the registered practice location at 3502 W NORTHSIDE DR.

Dr. Johnson is affiliated with Central Mississippi Civic Improvement Association, Inc and accepts Medicare assignment.

Frequently performed procedures and clinical services include photography of the retina, imaging of optic nerve, exam of visual field with extended testing. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

3502 W Northside Dr

Jackson, MS 392134454

Telephone 6013625321
Fax 6013642600
Associated Practice Facility / Clinic

Medicare Profile & Education

Medical School

Indiana University - School Of Optometry

Graduation Year

1978

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Optometrist in Jackson, MS

Senior Veteran Specialist (>20 Yrs)
Practitioner Clinical Experience
48 Yrs +19.7 yrs vs City Avg
City Avg: 28.3 Yrs
State Avg: 22.1 Yrs
Regional Practice Density
19 Specialists

Practicing in Jackson, MS (431 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
78.3% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Johnson (48 Years) 48 Yrs
Jackson Specialty Average (28.3 Years) 28.3 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
92250 Photography of the retina
43 42 $150.00 $32.59

Medical Specialties & State Licenses

Optometrist Primary Specialty

NUCC Taxonomy Code: 152W00000X

State License MS 478

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
00087883 (MS)

Hospital & Practice Group Affiliations

Central Mississippi Civic Improvement Association, Inc

129 White Oak St, Utica, MS 391758803

Phone: 6018856021

Central Mississippi Civic Improvement Association, Inc

3502 W Northside Dr, Jackson, MS 392134454

Phone: 6013625321

Practice Associates & Co-Workers

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

40 Associated Practitioners
Tiffani Mcknight

Social Worker - Clinical

NPI 1003388968
Katrice Andrews , FNP-C

Nurse Practitioner - Family

NPI 1013451780

Family Nurse Practitioner (Certified)

Ericia Cannon , NURSE PRACTITONER

Nurse Practitioner - Family

NPI 1013473891

NURSEPRACTITONER

Jequetta Mclaurin , FNP

Nurse Practitioner - Family

NPI 1013698513

Family Nurse Practitioner

Dr. Chad Rhoden , MD

Family Medicine

NPI 1043387764

Doctor of Medicine (M.D.)

Shamina Khanum , DENTIST

Dentist - General Practice

NPI 1053724120

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active December 21, 2007

NPI status registered as active in NPPES database

📍
Updated Practice Location December 21, 2007

Registered at 3502 W NORTHSIDE DR, JACKSON, MS 392134454 (Tel: 6013625321)

📍
Updated Business Mailing Address December 21, 2007

Registered at 3502 W NORTHSIDE DR, JACKSON, MS 392134454 (Tel: 6013625321)

👤
Provider Name / Credentials Updated December 21, 2007

Recorded as LINDA JOHNSON, O.D.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) December 21, 2007

Optometrist (License #478 in MS)

🟢
Initial NPI Registration & Enumeration June 15, 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: 1417991985
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 15, 2006
Last Update: December 21, 2007
Sole Proprietor: No

Mailing Address

3502 W Northside Dr

Jackson, MS 392134454

Phone: 6013625321

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.