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

Dr. Wallace Scott Johnson, OD

Individual provider Corneal and Contact Management Optometrist · NPI 1346209020

Dr. Wallace Scott Johnson, OD is an Optometry in Pillager, Minnesota. Qualified in 1988, 38 years ago. Practices with Up North Eye Care PA, a 2-clinician group and accepts Medicare assignment. Licensed in Minnesota.

Years since qualifying
38
Licensed in
MN
In the registry since
2006
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.

See every abbreviation used in this directory →

Practice location Address checks out

775 Buckskin Ave W
Pillager, MN 56473-2509
Phone: (218) 746-2020
Fax: (218) 520-0654
Show map & directions

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

Specialties & licences

Optometrist (primary) Taxonomy 152W00000X · Licence 2196 (MN)
Corneal and Contact Management Optometrist Taxonomy 152WC0802X · Licence 2196 (MN)

Record details

NPI number1346209020
Entity typeIndividual (Type 1)
GenderMale
Credentials OD
Sole proprietorNo
NPI enumeratedMarch 21, 2006
Last updated in NPPESJuly 24, 2025
Certification dateJuly 24, 2025
Mailing address775 Buckskin Ave W Ste 1, Pillager, MN 56473-2509

Medicare enrollment

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

Medicare specialtyOPTOMETRY
Medical schoolOTHER
Graduated 1988 (38 years in practice)
Group practice Up North Eye Care Pa — 2 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount