Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Gavin Lane Johnson, OD

Individual provider Optometrist · NPI 1194340745

Dr. Gavin Lane Johnson, OD is an Optometry in Brigham City, Utah. Graduated from Pacific University - College of Optometry in 2020, 6 years ago. Accepts Medicare assignment. Licensed in Utah.

Years since qualifying
6
Trained at
Pacific University - College of Optometry
Licensed in
UT
In the registry since
2020
What do these letters mean?
OD — Doctor of Optometry
An optometrist: examines eyes, prescribes glasses and contacts, and treats many eye conditions.

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Practice location Address checks out

34 S Main St
Brigham City, UT 84302-2527
Phone: (435) 723-2485
Fax: (435) 723-5840
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Optometrist (primary) Taxonomy 152W00000X · Licence 12753476-9934 (UT)

Record details

NPI number1194340745
Entity typeIndividual (Type 1)
GenderMale
Credentials OD
Sole proprietorNo
NPI enumeratedJune 10, 2020
Last updated in NPPESJanuary 11, 2024
Certification dateJanuary 11, 2024

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyOPTOMETRY
Medical schoolPACIFIC UNIVERSITY - COLLEGE OF OPTOMETRY
Graduated 2020 (6 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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