Dr Tyler J Johnson, OD in St Louis Park, MN - Medicare Optometry Provider

Dr Tyler J Johnson, OD is a medicare enrolled "Optometrist" provider in St Louis Park, Minnesota. He went to Pacific University - College Of Optometry and graduated in 1991 and has 33 years of diverse experience with area of expertise as Optometry. He is a member of the group practice Park Nicollet Clinic and his current practice location is 3900 Park Nicollet Blvd, St Louis Park, Minnesota. You can reach out to his office (for appointments etc.) via phone at (952) 993-3150.

Dr Tyler J Johnson is licensed to practice in Minnesota (license number 2358) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1205810868.

Contact Information

	Dr Tyler J Johnson, OD
	3900 Park Nicollet Blvd, St Louis Park, MN 55416-2503
	(952) 993-3150
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Dr Tyler J Johnson
Gender	Male
Speciality	Optometry
Experience	33 Years
Location	3900 Park Nicollet Blvd, St Louis Park, Minnesota
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Dr Tyler J Johnson attended and graduated from Pacific University - College Of Optometry in 1991

NPI Data:

NPI Number: 1205810868
Provider Enumeration Date: 12/06/2005
Last Update Date: 03/02/2012

Medicare PECOS Information:

PECOS PAC ID: 4082740808
Enrollment ID: I20100331000991

Medical Identifiers

Medical identifiers for Dr Tyler J Johnson such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1205810868	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
152W00000X	Optometrist	2358 (Minnesota)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Park Nicollet Clinic	7911819438	1530

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Dr Tyler J Johnson allows following entities to bill medicare on his behalf.

Provider Name	Park Nicollet Clinic
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1780621904 PECOS PAC ID: 7911819438 Enrollment ID: O20031104000046

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Tyler J Johnson is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Dr Tyler J Johnson, OD 3800 Park Nicollet Blvd, Credentialing, St Louis Park, MN 55416-2527 Ph: () -	Dr Tyler J Johnson, OD 3900 Park Nicollet Blvd, St Louis Park, MN 55416-2503 Ph: (952) 993-3150

Reviews and Comments

Optometrist in St Louis Park, MN

Icare Family Vision Plc Optometrist Medicare: Medicare Enrolled Practice Location: 6900 W Lake St, St Louis Park, MN 55426 Phone: 952-222-3578
Dr. Karl J Bakken, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 3900 Park Nicollet Blvd, St Louis Park, MN 55416 Phone: 952-993-3150
Mccarthy Complete Eye Care Pllc Optometrist Medicare: Medicare Enrolled Practice Location: 3601 Highway 100 S, St Louis Park, MN 55416 Phone: 952-356-3544 Fax: 240-317-5185
Dr. Alan H. Diamond, O.D. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 7204 Minnetonka Blvd, St Louis Park, MN 55426 Phone: 952-928-7005 Fax: 952-928-4910
Dr. Erin Marie Sinkoff, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 3900 Park Nicollet Blvd, St Louis Park, MN 55416 Phone: 952-993-3150
Beverly Jean Ludwig, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 8332 Highway 7, Knollwood Mall, St Louis Park, MN 55426 Phone: 952-933-3722

Dr Tyler J Johnson, OD - Medicare Optometrist in St Louis Park, MN