DR. TIMOTHY STEVEN JOHNSON (NPI# 1871629170) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1871629170 |
| Entity Type | Individual |
| Full Name | DR. TIMOTHY STEVEN JOHNSON |
| Credential | O.D. |
| Practice Address |
12771 Riverdale Blvd Nw Ste 103 Coon Rapids MN 55448-1263 |
| Mailing Address |
15426 Verdin St Nw Andover MN 55304-4786 |
| Practice Telephone | 7634211220 |
| Enumeration Date | 2007-02-23 |
| Last Update Date | 2018-03-17 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 152W00000X | Optometrist | MN2741 | MN | Eye and Vision Services Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MN | UCARE | 173057 | 01 |
| MN | BCBS | 186G8JO | 01 |
| MN | HEALTHPARTNERS | HP34135 | 01 |
| MN | EYEMED | MN2741 | 01 |
| MN | 253223900 | 05 | |
| MN | MEDICA | 22-03192 | 01 |
| MN | MEDICA | 22-03191 | 01 |
| MN | PREFERRED ONE | A01991022800 | 01 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 570 Northtown Dr Ne, Blaine, MN 554341043 | 7637844081 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992363089 | Timothy Harold Johnson | Registered Nurse | 9209 Seminole Blvd Unit 209, Seminole, FL 33772-3142 | 2019-06-03 |
| 1689139354 | Timothy Edward Johnson | Behavioral Analyst | 1075 N Main Street, Chelsea, MI 48118 | 2019-02-06 |
| 1942721600 | Timothy Byron Johnson | Dentist | 510 N Dacie Pt, Lecanto, FL 34461-8398 | 2017-07-03 |
| 1598208944 | Timothy M Johnson | Contractor | 2637 Pine Tree Dr, Miramar, FL 33023 | 2016-12-02 |
| 1982085247 | Timothy Brian Johnson | Obstetrics & Gynecology | 9730 S Western Ave Ste 100, Evergreen Park, IL 60805-2853 | 2015-06-12 |
| 1942618574 | Timothy Johnson | Pharmacist | 350 Moapa Valley Boulevard, Overton, NV 89040 | 2014-07-28 |
| 1487999033 | Timothy Johnson | Hearing Instrument Specialist | 920 N Telshor Blvd Ste A, Las Cruces, NM 88011-8279 | 2012-12-10 |
| 1649555392 | Timothy Bogart Johnson | Counselor | 3785 E Sunset Rd Ste 10, Las Vegas, NV 89120-6260 | 2011-10-13 |
| 1548578248 | Timothy Leroy Johnson | Marriage & Family Therapist | 3650 S Pointe Cir Ste 208, Laughlin, NV 89029 | 2010-09-16 |
| 1437463742 | Timothy Lee Johnson | Counselor | 3100 Rhett Ct, Charlotte, NC 28273-3660 | 2010-07-28 |
| Street Address |
12771 RIVERDALE BLVD NW STE 103 |
| City | COON RAPIDS |
| State | MN |
| Zip Code | 55448-1263 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447741152 | Modern Sisters Home Healthcare | Home Health | 1852 131st Ln Nw, Coon Rapids, MN 55448 | 2018-05-29 |
| 1003345463 | Sarah Benepe | Occupational Therapy Assistant | 764 107th Ln Nw, Coon Rapids, MN 55448 | 2017-06-08 |
| 1700310299 | Orthodontics Specialist of Minnesota P.l.l.c. | Dentist | 3360 Northdale Blvd Nw, Coon Rapids, MN 55448 | 2017-04-12 |
| 1528459906 | Shane R Fisher | Registered Nurse | 10077 Dogwood St. Nw, Suite 110, Minneapolis, MN 55448 | 2015-02-06 |
| 1912395419 | Mn Dentistry, PC | Dentist | 3570 River Rapids Drive Nw, Ste 110, Coor Rapids, MN 55448 | 2015-01-06 |
| 1215297536 | Daniel Beau Ryan Ellis | Chiropractor | 9 125 Lane Nw, Coon Rapids, MN 55448 | 2012-05-21 |
| 1306142344 | At Home Health Care Inc. | Home Health | 1601 128th Lane Nw, Coon Rapids, MN 55448 | 2011-02-09 |
| 1245428317 | Cassandra Joice Carney | Massage Therapist | 8770 Springbrook Dr Nw, Coon Rapids, MN 55448 | 2007-10-14 |
| 1982826434 | Merry Heart Home Care Inc | Home Health | 3248 131st Avenue Nw, Coon Rapids, MN 55448 | 2007-05-03 |
| 1659416196 | James T Sturm | Emergency Medicine | 10160 Foley Blvd Nw Ste 120, Coon Rapids, MN 55448 | 2007-02-21 |
| Find all providers in zip 55448 | ||||
| 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 |
|---|---|---|---|---|
| 1235642513 | Vista Family Eye Care LLC | Optometrist | 9920 Foley Blvd Nw Ste 120, Coon Rapids, MN 55433 | 2017-11-09 |
| 1588790729 | Chad David Kalil | Optometrist | 3777 Coon Rapids Boulevard, Suite 100, Coon Rapids, MN 55433 | 2007-02-24 |
| 1710079892 | Kara Durick Johnson | Optometrist | 12771 Riverdale Blvd Nw, Suite 103, Coon Rapids, MN 55448-1262 | 2006-09-28 |
| 1922038926 | Timothy Eggimann | Optometrist | 3777 Coon Rapids Blvd Nw Ste 100, Coon Rapids, MN 55433-2630 | 2006-07-04 |
| 1164424370 | Robert Dodge | Optometrist | 12737 Riverdale Blvd Nw, Coon Rapids, MN 55448-1253 | 2005-06-01 |
| 1760968895 | Margaret Mary Shipitalo | Optometrist | 3777 Coon Rapids Blvd Nw Ste 100, Coon Rapids, MN 55433-2630 | 2018-07-11 |
| 1568873123 | Becky Yeung | Optometrist | 3777 Coon Rapids Blvd Nw, Suite 100, Coon Rapids, MN 55433-2630 | 2014-05-16 |
| 1609292077 | Jd Eyes, Inc | Optometrist | 12771 Riverdale Blvd Nw, Suite 103, Coon Rapids, MN 55448-1262 | 2014-03-10 |
| 1285918268 | Paul Chadima Hammond | Optometrist | 3777 Coon Rapids Blvd Nw, Suite 100, Coon Rapids, MN 55433-2630 | 2011-10-07 |
| 1891924304 | Marlene Kluss | Optometrist | 3777 Coon Rapids Blvd Nw, Suite 100, Coon Rapids, MN 55433 | 2009-07-06 |
| Find all providers in COON RAPIDS | ||||
| City | COON RAPIDS |
| Zip Code | 55448 |
Please comment or provide details below to improve the information on DR. TIMOTHY STEVEN JOHNSON.
| 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.