Dr. Shane M Johnston, OD
Dr. Shane M Johnston, OD is an Optometry in Mesa, Arizona. Qualified in 2016, 10 years ago. Practices with Kirk T Reed O D P C, a 2-clinician group and accepts Medicare assignment. Licensed in Arizona.
- Years since qualifying
- 10
- Licensed in
- AZ
- In the registry since
- 2016
- Specialties on file
- 2
What do these letters mean?
- OD — Doctor of Optometry
- An optometrist: examines eyes, prescribes glasses and contacts, and treats many eye conditions.
Practice location Address checks out
1940 S Country Club Dr Ste 102Mesa, AZ 85210-6042
Phone: (480) 834-6367
Fax: (480) 834-7277
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Optometrist (primary) | Taxonomy 152W00000X · Licence 2108 (AZ) |
|---|---|
| Sports Vision Optometrist | Taxonomy 152WS0006X · Licence 2108 (AZ) |
Record details
| NPI number | 1356791545 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | OD |
| Sole proprietor | No |
| NPI enumerated | June 17, 2016 |
| Last updated in NPPES | June 5, 2026 |
| Certification date | June 5, 2026 |
| Mailing address | 8614 Westwood Center Dr Fl 9, Vienna, VA 22182-2442 |
Medicare enrollment
| Medicare specialty | OPTOMETRY |
|---|---|
| Medical school | OTHER |
| Graduated | 2016 (10 years in practice) |
| Group practice | Kirk T Reed O D P C — 2 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |