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Active NPI 1417908955 Individual Practitioner Male Practitioner

Dr. Lawrence Johansen , OD

Optometrist • Appleton, WI

✓ Accepts Medicare Assignment
Public Directory Information & Medical Disclaimer

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. Lawrence Johansen, OD is a registered Optometrist practitioner in Appleton, WI. With approximately 42 years of clinical practice since graduating from Pacific University - College Of Optometry in 1984, Dr. Johansen provides healthcare services at the registered practice location at 1000 W NORTHLAND AVE.

Dr. Johansen is affiliated with Shoptikal Llc and accepts Medicare assignment.

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

Practice Location & Contact Primary Location

Practice Address

1000 W Northland Ave

Appleton, WI 549141419

Telephone 9207314511
Fax 9207319332
Associated Practice Facility / Clinic

Medicare Profile & Education

Medical School

Pacific University - College Of Optometry

Graduation Year

1984

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Optometrist in Appleton, WI

Senior Veteran Specialist (>20 Yrs)
Practitioner Clinical Experience
42 Yrs +17.8 yrs vs City Avg
City Avg: 24.2 Yrs
State Avg: 21.0 Yrs
Regional Practice Density
44 Specialists

Practicing in Appleton, WI (1196 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
1.3% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Johansen (42 Years) 42 Yrs
Appleton Specialty Average (24.2 Years) 24.2 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
66984 Removal of cataract with insertion of lens
2,129 15 $1.14 $1.10
92014 Established patient complete exam of visual system
87 87 $72.41 $71.52

Medical Specialties & State Licenses

Optometrist Primary Specialty

NUCC Taxonomy Code: 152W00000X

State License WI WI 2007

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
38525100 (WI)

Hospital & Practice Group Affiliations

Shoptikal Llc

6000 Monona Dr, Monona, WI 537163329

Phone: 6082229420

Shoptikal Llc

1033 W Northland Ave, Appleton, WI 549141499

Phone: 9207314511

Practice Associates & Co-Workers

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

3 Associated Practitioners
NPI 1225089139

Doctor of Optometry

NPI 1336435445

Doctor of Optometry

NPI 1881646636

Doctor of Optometry, FAAO

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

📍
Updated Practice Location July 08, 2007

Registered at 1000 W NORTHLAND AVE, APPLETON, WI 549141419 (Tel: 9207314511)

📍
Updated Business Mailing Address July 08, 2007

Registered at 1000 W NORTHLAND AVE, APPLETON, WI 549141419 (Tel: 9207314511)

👤
Provider Name / Credentials Updated July 08, 2007

Recorded as LAWRENCE JOHANSEN, O.D.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Optometrist (License #WI 2007 in WI)

🟢
Initial NPI Registration & Enumeration May 12, 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: 1417908955
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: May 12, 2006
Last Update: July 13, 2026
Sole Proprietor: No

Mailing Address

1000 W Northland Ave

Appleton, WI 549141419

Phone: 9207314511

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.