STEPHANIE R. JOHNSON O.D. NPI 1992843007

NPI Information

  • NPI: 1992843007
  • Provider Name: STEPHANIE R. JOHNSON, O.D.
  • Classification: Optometrist - 152WV0400X
  • Specialization: Vision Therapy
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 5401 S WENTWORTH AVE STE 14B
    CHICAGO, IL
    ZIP 60609
  • Phone: (773) 924-5292

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NPI Details

Stephanie R. Johnson, O.D. is a vision therapy optometrist in Chicago, IL with 48 years of experience. The provider is optometrists who specialize in vision therapy as a treatment process used to improve vision function. It includes a broad range of developmental and rehabilitative treatment programs individually prescribed to remediate specific sensory, motor and/or visual perceptual dysfunctions. Stephanie R. Johnson, O.D. NPI is 1992843007. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

Education
Medical School: ILLINOIS COLLEGE OF OPTOMETRY AT CHICAGO
Graduation Year:1978

The provider's business location address is:

5401 S WENTWORTH AVE STE 14B
CHICAGO, IL
ZIP 60609-300
Phone: (773) 924-5292
Fax: (773) 373-3548

The NPI 1992843007 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 complete exam of visual system (HCPCS:92014)
  • Established patient office or other outpatient visit, 20-29 minutes (HCPCS:99213)
  • New patient complete exam of visual system (HCPCS:92004)
  • Imaging of optic nerve (HCPCS:92133)

The enumeration date for this NPI number is 2/1/2007 and was last updated on 1/18/2019.

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
1152W00000XOptometrist46-7055ILLINOISNo
2152WV0400XOptometristVision Therapy046007055ILLINOISYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
10046007055MEDICAIDILLINOIS

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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