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

Dr. Karl David Johannessen, OD

Individual provider Optometrist · NPI 1306863105

Dr. Karl David Johannessen, OD is an Optometry in Melbourne, Florida. Graduated from Southern College of Optometry in 1992, 34 years ago. Practices with Eye Doctors Optical Outlets PA, a 96-clinician group and accepts Medicare assignment. Licensed in Florida.

Years since qualifying
34
Trained at
Southern College of Optometry
Licensed in
FL
In the registry since
2006
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

6300 N Wickham Rd Unit 123
Melbourne, FL 32940-2028
Phone: (321) 751-7270
Fax: (321) 751-7769
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Optometrist (primary) Taxonomy 152W00000X · Licence OPC 2589 (FL)

Record details

NPI number1306863105
Entity typeIndividual (Type 1)
GenderMale
Credentials OD
Sole proprietorYes
NPI enumeratedJuly 16, 2006
Last updated in NPPESJuly 8, 2007

Medicare enrollment

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

Medicare specialtyOPTOMETRY
Medical schoolSOUTHERN COLLEGE OF OPTOMETRY
Graduated 1992 (34 years in practice)
Group practice Eye Doctors Optical Outlets Pa — 96 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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