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

Individual provider Optometrist · NPI 1871629170

Dr. Timothy Steven Johnson, OD is an Optometry in Coon Rapids, Minnesota. Graduated from Illinois College of Optometry at Chicago in 1999, 27 years ago. Works from 2 locations. Licensed in Minnesota.

Years since qualifying
27
Trained at
Illinois College of Optometry at Chicago
Licensed in
MN
In the registry since
2007
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

12771 Riverdale Blvd NW Ste 103
Coon Rapids, MN 55448-1263
Phone: (763) 421-1220
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 570 Northtown Dr Ne, Blaine, MN 55434-1043 — (763) 784-4081

Specialties & licences

Optometrist (primary) Taxonomy 152W00000X · Licence MN2741 (MN)

Record details

NPI number1871629170
Entity typeIndividual (Type 1)
GenderMale
Credentials OD
Sole proprietorNo
NPI enumeratedFebruary 23, 2007
Last updated in NPPESMarch 17, 2018
Mailing address15426 Verdin St Nw, Andover, MN 55304-4786

Medicare enrollment

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

Medicare specialtyOPTOMETRY
Medical schoolILLINOIS COLLEGE OF OPTOMETRY AT CHICAGO
Graduated 1999 (27 years in practice)
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

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