Type 1 · Individual ✓ Active NPI ✓ Valid NPI checksum
Dr. Wallace Scott Johnson, O.D.
Optometrist in Pillager, MN · enumerated 2006.
Data current as of Jul 13, 2026 · sourced from CMS NPPES
National Provider Identifier
1346209020
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Registry record
Entity type Individual (Type 1)
Name Dr. Wallace Scott Johnson
Credential O.D.
Sex Male
Practice address 775 Buckskin Ave W, Pillager, MN, 56473
Phone (218) 746-2020
Fax (218) 520-0654
Enumeration date Mar 21, 2006
Last updated in NPPES Jul 24, 2025
Taxonomy & licenses
152WC0802X Corneal and Contact Management Optometrist Eye and Vision Services Providers · License 2196 (MN) Secondary
OD · Doctor of Optometry: A licensed optometrist providing primary vision care, eye exams, and corrective lenses.
About the OD credential
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 63372 | Other | MN | MPIN |
| 970525200 | Medicaid | MN | - |
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.
Frequently asked questions
What specialty is Wallace Johnson?
Wallace Johnson is registered in NPPES with the primary taxonomy of Optometrist. The taxonomy code describes the provider's classification and area of specialization for claims and credentialing.
Is this the official NPI registry?
No. NPI Portal is a private site built on public CMS NPPES data. The official registry is npiregistry.cms.hhs.gov, operated by CMS.
Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2025-07-24.