JEREL DEAN JOHNSON, ABOC Optician — NPI 1750421160 (Licensed & Credentialed Eye & Vision Service Providers — Technician

CMS-1500 Box 24J / 33a • NPI

1750421160

Type 1 Individual Rendering/Ordering

HIPAA NUCC Taxonomy • CMS Code

156FX1800X (CMS 96[5])

Licensed & Credentialed Eye & Vision Service Providers — Technician — Technologist, Optician

Box 32 Service Location & ZIP+4

23 EAST VERMILION AVE, COOK, MN, 55723-0127

✓ 9-Digit EDI 837 ZIP+4 (55723-0127)

Practice Phone & Referral Fax

(218) 666-2879

Direct NPPES Verification Line

✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR: NPI 1750421160 (JEREL DEAN JOHNSON, ABOC Optician) has 0 active federal exclusions across all 84,224 HHS OIG LEIE sanction records (Database Verified: 2026-11-11).

CMS Medicare Order & Referring PECOS Eligibility

This practitioner does not currently appear in the CMS individual Order & Referring PECOS file (may practice in pediatrics, commercial-only networks, or hospital-employed settings).

Official CMS NPPES Credential & Practice Profile

10-Digit NPI Number	`1750421160` (NPI-1 Individual Practitioner)
Provider / Legal Name	JEREL DEAN JOHNSON, ABOC Optician
Plain-English Specialty	Licensed & Credentialed Eye & Vision Service Providers — Technician — Technologist, Optician NUCC Code: `156FX1800X` (Technician/Technologist, Optician)
Certifying / Licensing Body	State Medical / Healthcare Licensing Board & National Specialty Board
Practice Location Address	23 EAST VERMILION AVE, COOK, MN, 55723-0127
Practice Telephone / Fax	Tel: (218) 666-2879
Administrative Mailing Address	PO BOX 127, COOK, MN, 55723-0127
Enumeration & Last Sync	Enumerated: 2007-02-07 \| CMS Record Updated: 2007-07-08

Clinic Location, Accessibility & Directions

📍 Practice Location & Patient Access

23 EAST VERMILION AVE, COOK, MN, 55723-0127

🗺️ Open in Google Maps 🏥 More Providers in COOK

🔒 Are you JEREL DEAN JOHNSON, ABOC Optician? Get your Verified NPI Clinic Badge or request personal phone/address redaction →

Plain-English Taxonomy & CMS Crosswalk (156FX1800X)

What Does Taxonomy Code 156FX1800X Mean?

In the HIPAA National Uniform Claim Committee (NUCC) classification, code 156FX1800X translates to:
"Licensed & Credentialed Eye & Vision Service Providers — Technician — Technologist, Optician"

CMS-1500 Medicare Specialty Crosswalk: CMS Code 96[5] (Optician)
Certifying / Accrediting Authority: State Medical / Healthcare Licensing Board & National Specialty Board
Clinical Scope: Consult a verified Technician/Technologist, Optician for specialized diagnostic evaluation, treatment planning, and continuity of care.

Specialty Clinical Procedures & Therapeutic Classes

Standard Scope of Care (JEREL DEAN JOHNSON, ABOC Optician)

Typical CPT / Diagnostic Procedures:

Comprehensive Outpatient & Inpatient Clinical Evaluation (CPT 99202–99215)
Diagnostic Workup, Laboratory Ordering & Evidence-Based Care Coordination
Preventive Screening, Patient Counseling & Multidisciplinary Referral

Common Therapeutic Classes:

Evidence-Based Specialty Pharmacotherapy & Preventive Regimens (CMS Part D Standard)

All Registered NUCC Taxonomies & State Licenses

Taxonomy Code & Plain-English Description	State License & Primary Status
`156FX1800X` — Technician/Technologist, Optician Plain English: Licensed & Credentialed Eye & Vision Service Providers — Technician — Technologist, Optician	State: MN \| License: `19618` \| Primary: Yes (Primary)

Medical Billing, RCM & Hospital Credentialing Teams:

Batch-verify up to 25 NPIs free against CMS NPPES + Medicare PECOS + HHS OIG Exclusions with 1-click CSV export.

Launch Bulk NPI Checker → JSON API Docs

JEREL DEAN JOHNSON, ABOC Optician (NPI #1750421160)