MR. BRYAN LOWELL JOHNSON (NPI# 1184608200) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1184608200 |
| Entity Type | Individual |
| Full Name | MR. BRYAN LOWELL JOHNSON |
| Credential | OD |
| Practice Address |
3630 11th Ave Nw Rochester MN 55901-4276 |
| Practice Telephone | 5072882457 |
| Practice Fax Number | 5072881299 |
| Mailing Telephone | 5072882457 |
| Mailing Fax Number | 5072881299 |
| Enumeration Date | 2005-12-01 |
| Last Update Date | 2009-05-28 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 152W00000X | Optometrist | 2090 | MN | Eye and Vision Services Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MEDICA CHOICE SELECT | 2201134 | 01 | |
| MN | 549823700 | 05 | |
| PREFERRED ONE | 01017733 | 01 | |
| HEALTH PARTNERS | HP44093 | 01 | |
| MN | BCBS OF MN | 4C934J0 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730743956 | Bryan A Johnson | Nurse Practitioner | 94-1221 Ka Uka Blvd # 108-166, Waipahu, HI 96797-6202 | 2019-04-23 |
| 1225508948 | Bryan Ann Johnson | Social Worker | 317 Arlington Rd, Hoyt Lakes, MN 55750-1117 | 2018-11-26 |
| 1164869921 | Bryan Andrew Johnson | Chiropractor | 414 Mcmurray Rd, Bethel Park, PA 15102-1132 | 2013-06-03 |
| 1356590855 | Bryan Manees Johnson | General Practice | Hhc 3 82 Gsab, Fort Bragg, NC 28310-0001 | 2008-09-09 |
| 1710199013 | Bryan Alan Johnson | Licensed Practical Nurse | 200 S Pettigrew St, Raleigh, NC 27610-2651 | 2007-05-07 |
| 1326167396 | Bryan Carl Johnson | Dentist | 500 Columbia St Ste B, Woodland, WA 98674-8491 | 2007-03-28 |
| 1891859112 | Bryan D. Johnson | Dentist | 516 Main St., Madison Lake, MN 56063 | 2006-12-21 |
| 1740384981 | Bryan J Johnson | Dentist | 4250 Pontiac Lake Rd, Suite B, Waterford, MI 48328-1281 | 2006-09-08 |
| 1770573347 | Bryan Johnson | Dentist | 309 S Main St, Milbank, SD 57252-1810 | 2005-10-25 |
| 1023618501 | Bryan Karl Johnson | Pharmacist | 401 Supercenter Dr, Jefferson City, MO 65101-8190 | 2020-10-26 |
| Street Address |
3630 11TH AVE NW |
| City | ROCHESTER |
| State | MN |
| Zip Code | 55901-4276 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831173335 | Rochester Family Eye Clinic LLC | Optometrist | 3630 11th Ave Nw, Rochester, MN 55901-4276 | 2005-11-30 |
| 1043739089 | Eva Y So | Optometrist | 3630 11th Ave Nw, Rochester, MN 55901-4276 | 2017-09-11 |
| 1114339629 | Loren John Baldus | Optometrist | 3630 11th Ave Nw, Rochester, MN 55901-4276 | 2014-06-02 |
| 1356325476 | Fred A Butler | Optometrist | 3630 11th Ave Nw, Rochester, MN 55901-4276 | 2005-12-01 |
| 1447234554 | Mark A Kidman | Optometrist | 3630 11th Ave Nw, Rochester, MN 55901-4276 | 2005-12-01 |
| 1952385445 | Melissa K Downs | Optometrist | 3630 11th Ave Nw, Rochester, MN 55901-4276 | 2005-11-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417554627 | Austin Montgomery Gray | Chiropractor | 4229 West Frontage Rd Nw, Suite 4, Rochester, MN 55901 | 2020-10-01 |
| 1497303150 | Tatenda Valentine Rudziva | Nurse Practitioner | 2989 315 Elton Hills Drive Nw, Suite 201, Rochester, MN 55901 | 2019-08-27 |
| 1629566872 | Juan Simon Rico Mesa | Student in an Organized Health Care Education/Training Program | 4502 Medical Drive, San Antonio, 78229, San Antonio, TX 55901 | 2018-04-24 |
| 1336658277 | Minnesota Teen Challenge | Exclusive Provider Organization | 1542 Assisi Drive Nw, Rochester, MN 55901 | 2017-09-22 |
| 1235648270 | Mariah Adanene | Registered Nurse | 915 41st Street Nw, Rochester, MN 55901 | 2017-09-21 |
| 1912420639 | Anna Maria Schuman | Speech-Language Pathologist | 2746 Superior Drive Nw, Suite Number 150, Rochester, MN 55901 | 2017-07-25 |
| 1871013870 | Rhonda Keith | Counselor | 602 11th Avenue Nw #300, Rochester, MN 55901 | 2017-06-21 |
| 1548794316 | Trevor Kindle | Ophthalmology | 200 1st Ave Nw, Rochester, MN 55901 | 2017-04-18 |
| 1659810844 | Rx Team Home Health Care LLC | Home Health | 1027 7th St Nw Unit #204, Rochester, MN 55901 | 2017-02-21 |
| 1457713109 | Joshua Carter | Chiropractor | 3270 19th St Nw Ste 203, Rochester, MN 55901 | 2016-03-22 |
| Find all providers in zip 55901 | ||||
| Taxonomy Code | 152W00000X |
| Grouping | Eye and Vision Services Providers |
| Classification | Optometrist |
| 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. |
| Notes: Source: American Optometric Association (AOA), approved by the AOA’s Board of Trustees, June 21, 2005. [7/1/2006: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316588700 | Total Vision Eyecare, Pllc | Optometrist | 1630 Center St W, Rochester, MN 55902-0346 | 2019-10-07 |
| 1619529278 | Amanda Domagola | Optometrist | 451 Hollybrook Rd, Rochester, NY 14623-4115 | 2019-07-14 |
| 1962062000 | Megan Elizabeth Hart | Optometrist | 3173 Chili Ave Ste 400, Rochester, NY 14624-5400 | 2019-06-20 |
| 1902310006 | Maria Annum | Optometrist | 3462 55th St Nw Ste 600, Rochester, MN 55901-0203 | 2017-11-28 |
| 1467964627 | Eric Lee Houghtaling | Optometrist | 2180 Monroe Ave Ste 1, Rochester, NY 14618-2410 | 2017-10-27 |
| 1942731682 | Bhend Family Eye Care, Pllc | Optometrist | 2650 S Broadway, Suite 400, Rochester, MN 55904-6262 | 2017-03-24 |
| 1770932147 | Ashley Mills | Optometrist | 10 Woodcrest Dr, Rochester, NY 14625 | 2016-06-07 |
| 1376957779 | David William Kenney | Optometrist | 3042 W Ridge Rd, Rochester, NY 14626-1676 | 2014-06-13 |
| 1801221346 | Anthony J Dell'anno | Optometrist | 2590 W Ridge Rd, Rochester, NY 14626-3041 | 2013-09-03 |
| 1972944668 | Marycarol Graby | Optometrist | 2301 Lac Deville Blvd, Rochester, NY 14618-5646 | 2013-07-10 |
| Find all providers in ROCHESTER | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.