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

Jeffery Blake Johnson, OD

Individual provider Optometrist · NPI 1013229442

Jeffery Blake Johnson, OD is an Optometry in Pine Bluff, Arkansas. Graduated from University of Missouri St Louis - School of Optometry in 2010, 16 years ago. Licensed in Arkansas and Illinois.

Years since qualifying
16
Trained at
University of Missouri St Louis - School of Optometry
Licensed in
AR, IL
In the registry since
2010
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.

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Practice location Address checks out

3805 W 28th
Pine Bluff, AR 71603
Phone: (870) 536-4100
Fax: (870) 536-9020
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Optometrist (primary) Taxonomy 152W00000X · Licence 2693 (AR)
Optometrist Taxonomy 152W00000X · Licence 046.010370 (IL)

Record details

NPI number1013229442
Entity typeIndividual (Type 1)
GenderMale
Credentials OD
Sole proprietorNo
NPI enumeratedJuly 14, 2010
Last updated in NPPESMarch 7, 2014
Mailing address3805 West 28th, Pine Bluff, AR 71603

Medicare enrollment

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

Medicare specialtyOPTOMETRY
Medical schoolUNIVERSITY OF MISSOURI ST LOUIS - SCHOOL OF OPTOMETRY
Graduated 2010 (16 years in practice)
Accepts Medicare assignment Not indicated
Practice locations5 on file with Medicare

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