Gavin L Johnson Od LLC
NPI 1699478545ActiveOrganization· Optometrist· Brigham City, UT
Optometrist in Brigham City, Utah, registered in NPPES in March 2023. The authorized official on file is Gavin Lane Johnson, O.D., Owner/Od. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1699478545 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Mar 22, 2023 |
| Last updated in NPPES | Jan 11, 2024 |
| Certified by provider | Jan 11, 2024 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Optometrist Primary | 152W00000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (UT) |
|---|
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