Dr. Wallace Scott Johnson is a Worthington, Minnesota based male Optometrist with 36 years of experience in Optometry. He completed his graduation from Other in 1988. He may accept the Medicare-approved amount. Patients may be billed for more than the Medicare deductible and coinsurance. Active license number of Dr. Wallace Scott Johnson is 2196 for Optometry in Minnesota. Dr. Wallace Scott Johnson 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. He 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. He is a eye health care professional who is state-licensed to diagnose and treat diseases and disorders of the eye and visual system.
Complete Profile:
Dr. Wallace Scott Johnson speciality, credentials, practice address, contact phone number and fax are as below.
Patients can directly walk in or can call on the below given phone number for appointment.
Specialization:
Optometry
Credentials:
O.D.
Experience:
36+ years
Medical School Attended:
Other
Graduation Year:
1988
Gender:
Male
Accepts Medicare Assignment:
May Accept
Practice Address:
702 10th St, Worthington, Minnesota, 56187-2767
Phone:
507-376-5535
Fax:
507-376-4805
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
PAC ID:
5496871584
Enrollment ID:
I20100927000490
NPI Number:
1346209020
NPI Enumeration Date:
21 Mar, 2006
NPI Last Update On:
03 Mar, 2015
Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Dr. Wallace Scott Johnson are as mentioned below.
License Number
Specialization
State
Status
2196
Optometry
Minnesota
Primary
2196
Optometry - Corneal and Contact Management
Minnesota
Secondary
Group Practice:
Group practices are run by a group of physicians who share their premises and other resources. Following list states all the group name
with which Dr. Wallace Scott Johnson has association with along with the number of members in that group.
Organization Name (Group PAC ID)
Members
Up North Eye Care Pa (6709208887)
2
Worthington Eye Clinic, Llc (9830501923)
3
Other Medical Identifiers:
Other legacy medical identifiers associated with Dr. Wallace Scott Johnson such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
63372
Other
Minnesota
MPIN
970525200
Medicaid
Minnesota
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
Po Box 726, Worthington, Minnesota
Zip:
56187-0726
Phone Number:
507-376-5535
Fax Number:
507-376-4805
Patients can reach Dr. Wallace Scott Johnson at 702 10th St, Worthington, Minnesota or can call to book an appointment on 507-376-5535. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 11 March, 2024.