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

Dr. Matthew Sander Johnson, MD

Individual provider Ophthalmology Physician · NPI 1558593004

Dr. Matthew Sander Johnson, MD is an Ophthalmology in Coon Rapids, Minnesota. Graduated from University of Minnesota Medical School in 2007, 19 years ago. Practices with Park Nicollet Clinic, a 1,773-clinician group and accepts Medicare assignment. Licensed in Minnesota and Oklahoma.

Years since qualifying
19
Trained at
University of Minnesota Medical School
Licensed in
MN, OK
In the registry since
2009
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

3777 Coon Rapids Blvd NW Ste 100
Coon Rapids, MN 55433
Phone: (763) 421-7420
Fax: (763) 592-8453
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Ophthalmology Physician (primary) Taxonomy 207W00000X · Licence 20373 (MN)
Ophthalmology Physician Taxonomy 207W00000X · Licence 28337 (OK)

Record details

NPI number1558593004
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedAugust 18, 2009
Last updated in NPPESJuly 31, 2013
Mailing address3777 Coon Rapids Blvd Nw, Suite 100, Coon Rapids, MN 55433

Medicare enrollment

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

Medicare specialtyOPHTHALMOLOGY
Medical schoolUNIVERSITY OF MINNESOTA MEDICAL SCHOOL
Graduated 2007 (19 years in practice)
Group practice Park Nicollet Clinic — 1773 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations10 on file with Medicare

Other providers in Coon Rapids