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

Individual provider Optometrist · NPI 1447396460

Gregory Charles Johnson, OD is an Optometry in Puyallup, Washington. Graduated from Pacific University - College of Optometry in 1994, 32 years ago. Practices as a sole proprietor and accepts Medicare assignment. Licensed in Washington.

Years since qualifying
32
Trained at
Pacific University - College of Optometry
Licensed in
WA
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

10202 149th St E # 101
Puyallup, WA 98374-3746
Phone: (253) 841-2020
Fax: (253) 770-7378
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Optometrist (primary) Taxonomy 152W00000X · Licence 3116TX (WA)

Record details

NPI number1447396460
Entity typeIndividual (Type 1)
GenderMale
Credentials OD
Sole proprietorYes
NPI enumeratedJanuary 29, 2007
Last updated in NPPESJuly 8, 2007
Mailing address10202 149th St E # 101, Puyallup, WA 98374-3746

Medicare enrollment

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

Medicare specialtyOPTOMETRY
Medical schoolPACIFIC UNIVERSITY - COLLEGE OF OPTOMETRY
Graduated 1994 (32 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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