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Deactivated NPI 1093886202 Deactivated / Inactive NPI Male Practitioner

Dr. Robert D Johnson , OD

Optometrist • Huron, SD

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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. Robert Johnson has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date November 10, 2006
NPI Deactivation Date May 08, 2020
Total Practice Duration ~14 Years of Practice (2006 – 2020)

Professional Overview & Biography Verified Profile Summary

Dr. Robert Johnson, OD was a registered Optometrist practicing in Huron, SD. Throughout an active medical career spanning 14 years, Dr. Johnson provided care at the practice location at 1712 DAKOTA AVE S until profile deactivation on 2020-05-08.

Practice Location & Contact Primary Location

Practice Address

1712 Dakota Ave S

Huron, SD 573504024

Telephone 6053528511
Associated Practice Facility / Clinic
🏢 Huron Vision Center Facility NPI 1538343934

Specialty Benchmarks & Practice Insights

Comparative analytics for Optometrist in Huron, SD

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 16.3 Yrs
State Avg: 22.6 Yrs
Regional Practice Density
5 Specialists

Practicing in Huron, SD (253 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 SD T101

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.

Career & Practice History Timeline

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

7 Historical Events
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NPI Profile Deactivated May 08, 2020

Record deactivated on May 08, 2020

NPI Profile Active June 11, 2010

NPI status registered as active in NPPES database

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Updated Practice Location June 11, 2010

Registered at 1712 DAKOTA AVE S, HURON, SD 573504024 (Tel: 6053528511)

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Updated Business Mailing Address June 11, 2010

Registered at 1712 DAKOTA AVE S, HURON, SD 573504024 (Tel: 6053528511)

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Provider Name / Credentials Updated June 11, 2010

Recorded as ROBERT JOHNSON, OD.

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Medical Taxonomy / Specialty Registered (Primary Specialty) June 11, 2010

Optometrist (License #T101 in SD)

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Initial NPI Registration & Enumeration November 10, 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: 1093886202
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: November 10, 2006
Last Update: June 11, 2010
Deactivation Date: May 08, 2020

Mailing Address

1712 Dakota Ave S

Huron, SD 573504024

Phone: 6053528511

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.