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

Dr. Patrick Kelly Johnson, MD

Individual provider Ophthalmology Physician · NPI 1710190939

Dr. Patrick Kelly Johnson, MD is an Ophthalmology in Coon Rapids, Minnesota. Graduated from University of Minnesota Medical School in 2003, 23 years ago. Practices with Edina Eye Physicians and Surgeons PA, a 22-clinician group and accepts Medicare assignment. Licensed in Minnesota.

Years since qualifying
23
Trained at
University of Minnesota Medical School
Licensed in
MN
In the registry since
2007
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

See every abbreviation used in this directory →

Practice location Address checks out

3790 Coon Rapids Blvd NW
Coon Rapids, MN 55433-2629
Phone: (763) 421-7420
Fax: (763) 421-0730
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Ophthalmology Physician (primary) Taxonomy 207W00000X · Licence 102991 (MN)

Record details

NPI number1710190939
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedMay 7, 2007
Last updated in NPPESMay 10, 2012
Mailing address3790 Coon Rapids Blvd Nw, Coon Rapids, MN 55433-2629

Medicare enrollment

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

Medicare specialtyOPHTHALMOLOGY
Medical schoolUNIVERSITY OF MINNESOTA MEDICAL SCHOOL
Graduated 2003 (23 years in practice)
Group practice Edina Eye Physicians And Surgeons Pa — 22 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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