IndividualActiveAccepts Medicare
Savannah Johnson, OD
NPI 1962737049 · Optometrist · Waite Park, MN
Enrolled with Medicare as Practitioner - Optometry · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Provider details
- NPI number
- 1962737049
- Entity type
- Individual
- Primary specialty
- OptometristEye and Vision Services Providers
- Credential
- OD
- Sex
- Female
- Sole proprietor
- No
- License
- 3280 (MN)
Specialties & taxonomies
Eye and Vision Services Providers
Profile Score
Detailed profile(89/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
16 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
2 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
206 Division St
Waite Park, MN 56387
Phone: (320) 253-0365
Fax: (844) 372-1032
Street-level locationGet directions
Mailing address
206 Division St
Waite Park, MN 56387-1331
Additional practice locations (1)
- 747 Lake St EWayzata, MN 55391-1712Phone: (952) 404-2020
Registry dates
- Enumerated
- 2009-10-07
- Last updated
- 2019-02-20
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.