JODIE J JOHNSON O.D. NPI 1629001474

NPI Information

  • NPI: 1629001474
  • Provider Name: JODIE J JOHNSON, O.D.
  • Classification: Optometrist - 152WX0102X
  • Specialization: Occupational Vision
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 2364 W 12600 S
    SUITE E
    RIVERTON, UT
    ZIP 84065
  • Phone: (801) 446-7600

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NPI Details

Jodie J Johnson, O.D. is an occupational vision optometrist in Riverton, UT with 30 years of experience. The provider is optometrists who work in Occupational Vision, the branch of environmental optometry, consider all aspects of the relationship between work and vision, visual performances, eye safety, and health. Jodie J Johnson, O.D. NPI is 1629001474. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: PACIFIC UNIVERSITY - COLLEGE OF OPTOMETRY
Graduation Year:1996

The provider's business location address is:

2364 W 12600 S
SUITE E
RIVERTON, UT
ZIP 84065-109
Phone: (801) 446-7600
Fax: (801) 446-0912

The NPI 1629001474 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA).

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Established patient office or other outpatient visit, 20-29 minutes (HCPCS:99213)
  • Photography of the retina (HCPCS:92250)
  • Established patient office or other outpatient visit, 30-39 minutes (HCPCS:99214)

The enumeration date for this NPI number is 7/7/2006 and was last updated on 9/11/2025.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1152W00000XOptometrist963300949934UTAHNo
2152WC0802XOptometristCorneal and Contact Management330094-9934UTAHNo
3152WL0500XOptometristLow Vision Rehabilitation3300949934UTAHNo
4152WP0200XOptometristPediatrics330094-9934UTAHNo
5152WS0006XOptometristSports Vision330094-9934UTAHNo
6152WV0400XOptometristVision Therapy330094-9934UTAHNo
7152WX0102XOptometristOccupational Vision330094-9934UTAHYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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