Dr. Wallace Scott Johnson is a Pillager, Minnesota based male Corneal and Contact Management Optometrist with 37 years of experience in Optometry - Corneal and Contact Management. 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 performs professional activities related to the fitting of contact lenses to an eye, ongoing evaluation of the cornea's ability to sustain successful contact lens wear, and treatment of any external eye or corneal condition which can affect contact lens wear.
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.
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:
24 Jul, 2025
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:
775 Buckskin Ave W Ste 1, Pillager, Minnesota
Zip:
56473-2509
Phone Number:
218-746-2020
Fax Number:
218-520-0654
Patients can reach Dr. Wallace Scott Johnson at 775 Buckskin Ave W, Pillager, Minnesota or can call to book an appointment on 218-746-2020. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 13 October, 2025.