MEDICARE: THOMAS N JOHNSON OPTOMETRIC CORP

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	152W00000X	Optometrist	LD22510000	MN

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1275772790
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	THOMAS N JOHNSON OPTOMETRIC CORP

Provider Business Mailing Address
First Line	:	210 2ND AVE N
Second Line	:
City	:	SAUK RAPIDS
State	:	MN
Zip	:	56379-1608
Country	:	US
Telephone Number	:	320-257-4990
Fax Number	:	320-257-4991

Provider Business Practice Location Address
First Line	:	210 2ND AVE N
Second Line	:
City	:	SAUK RAPIDS
State	:	MN
Zip	:	56379-1608
Country	:	US
Telephone Number	:	320-257-4990
Fax Number	:	320-257-4991

Authorized Official
Title or Position	:	OPTOMETRIST
Name	:	DR. THOMAS NELSON JOHNSON
Credential	:	O.D.
Telephone Number	:	320-257-4990

Provider Enumeration Date	:	02/05/2009
Last Update Date	:	01/13/2015

Similar Medicare Providers

1760680037 — MRS. SARAH SUZANNE READY
Practice Location Address:

1608 SAUK RD
DIXON, IL
61021-8777

Practice Phone: 815-835-2015
Practice Fax:

1306831276 — DR. STEVEN LYNN HELMS O.D.
Practice Location Address:

4022 PLAINFIELD AVE NE
GRAND RAPIDS, MI
49525-1608

Practice Phone: 616-363-1868
Practice Fax: 616-363-2246

1336224682 — KENT VISION CENTERS INC
Practice Location Address:

4022 PLAINFIELD AVE NE
GRAND RAPIDS, MI
49525-1608

Practice Phone: 616-363-1868
Practice Fax: 616-363-2246

1679819593 — RX OPTICAL LABORATORIES, INC.
Practice Location Address:

4022 PLAINFIELD AVE NE
GRAND RAPIDS, MI
49525-1608

Practice Phone: 616-363-1868
Practice Fax: 616-363-2246

1679158166 — MYEYEDR OPTOMETRY OF MICHIGAN, LLC
Practice Location Address:

4022 PLAINFIELD AVE NE
GRAND RAPIDS, MI
49525-1608

Practice Phone: 616-363-1868
Practice Fax: 616-363-2246

1164380424 — OMAR HUSSEIN
Practice Location Address:

940 INDUSTRIAL DR S STE 109
SAUK RAPIDS, MN
56379-1271

Practice Phone: 612-438-7661
Practice Fax:

Directions to “THOMAS N JOHNSON OPTOMETRIC CORP ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.