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

Mr. Michael T Johnson, OD

Individual provider Optometrist · NPI 1356655856

Mr. Michael T Johnson, OD is an Optometry in Greenwood, Indiana. Graduated from Indiana University - School of Optometry in 2010, 16 years ago. Accepts Medicare assignment. Licensed in California, Illinois and Indiana.

Years since qualifying
16
Trained at
Indiana University - School of Optometry
Licensed in
CA, IL, IN
In the registry since
2010
Specialties on file
4
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

3100 Meridian Parke Dr Ste J
Greenwood, IN 46142-9424
Phone: (317) 888-9755
Fax: (317) 888-9768
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Optometrist (primary) Taxonomy 152W00000X · Licence 18003700A (IN)
Optometrist Taxonomy 152W00000X · Licence 046.010372 (IL)
Optometrist Taxonomy 152W00000X · Licence OPT13946TLG (CA)
Optometrist Taxonomy 152W00000X · Licence 18003700B (IN)

Record details

NPI number1356655856
Entity typeIndividual (Type 1)
GenderMale
Credentials OD
Sole proprietorNo
NPI enumeratedJuly 27, 2010
Last updated in NPPESDecember 4, 2024
Certification dateDecember 4, 2024
Mailing address3100 Meridian Parke Dr Ste J, Greenwood, IN 46142-9424

Medicare enrollment

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

Medicare specialtyOPTOMETRY
Medical schoolINDIANA UNIVERSITY - SCHOOL OF OPTOMETRY
Graduated 2010 (16 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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