Wallace Scott Johnson, O.D.

Optometrist · Pillager, MN

Individual Active NPI

NPI number 1346209020

Practice location

775 Buckskin Ave W
Pillager, MN 56473-2509
Phone
(218) 746-2020
Fax
(218) 520-0654

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NPI record

NPI
1346209020
Entity type
Individual (Type 1)
Enumeration date
March 21, 2006
Last updated
July 24, 2025
Certified
July 24, 2025
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Optometrist Primary 152W00000X 2196 MN
Corneal and Contact Management Optometrist 152WC0802X 2196 MN

Mailing address

775 Buckskin Ave W Ste 1
Pillager, MN 56473-2509
Phone
(218) 746-2020
Fax
(218) 520-0654

About Dr. Johnson

Wallace Scott Johnson, O.D. is a healthcare provider registered in the NPI registry with the primary taxonomy Optometrist (code 152W00000X). The practice location is 775 Buckskin Ave W, Pillager, MN 56473-2509. The NPI number 1346209020 was assigned on March 21, 2006 and the record was last updated on July 24, 2025.

Dr. Johnson lists 2 licenses in the registry: #2196 (MN) for Optometrist; #2196 (MN) for Corneal and Contact Management Optometrist. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Wallace Scott Johnson, O.D.?

The NPI number is 1346209020.

What is the phone number of Dr. Johnson?

The phone number listed for the practice location is (218) 746-2020.

Where is Dr. Johnson located?

775 Buckskin Ave W, Pillager, MN 56473-2509.

What is the taxonomy code for Dr. Johnson?

The primary taxonomy code is 152W00000X – Optometrist; 1 more listed above.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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