Dr Shane M Johnston, OD - Medicare Optometrist in Mesa, AZ

Dr Shane M Johnston, OD is a medicare enrolled "Optometrist" provider in Mesa, Arizona. He graduated from medical school in 2016 and has 10 years of diverse experience with area of expertise as Optometry. He is a member of the group practice Kirk T Reed O D P C and his current practice location is 1940 S Country Club Dr Ste 102, Mesa, Arizona. You can reach out to his office (for appointments etc.) via phone at (480) 834-6367.

Dr Shane M Johnston is licensed to practice in Arizona (license number 2108) 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 1356791545.

Contact Information

Dr Shane M Johnston, OD
1940 S Country Club Dr Ste 102,
Mesa, AZ 85210-6042
(480) 834-6367
(480) 834-7277

Map and Direction




Healthcare Provider's Profile

Full NameDr Shane M Johnston
GenderMale
SpecialityOptometry
Experience10 Years
Location1940 S Country Club Dr Ste 102, Mesa, Arizona
Accepts Medicare AssignmentsYes. 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 Shane M Johnston graduated from medical school in 2016
  NPI Data:
  • NPI Number: 1356791545
  • Provider Enumeration Date: 06/17/2016
  • Last Update Date: 06/05/2026
  Medicare PECOS Information:
  • PECOS PAC ID: 9133468754
  • Enrollment ID: I20260312003843

Medical Identifiers

Medical identifiers for Dr Shane M Johnston such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1356791545NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
152WS0006XOptometrist - Sports Vision 2108 (Arizona)Secondary
152W00000XOptometrist 2108 (Arizona)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Kirk T Reed O D P C08403408162

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 Shane M Johnston 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 AddressPractice Location Address
Dr Shane M Johnston, OD
8614 Westwood Center Dr Fl 9,
Vienna, VA 22182-2442

Ph: (703) 847-8899
Dr Shane M Johnston, OD
1940 S Country Club Dr Ste 102,
Mesa, AZ 85210-6042

Ph: (480) 834-6367

Reviews and Comments


Optometrist in Mesa, AZ

Dr. Fred Nmn Fisch, O.D.
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Phone: 480-832-0030    Fax: 480-924-7268

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.