NPPES file of Aug 9, 2026

Shane M. Johnston, O.D.

Optometrist · Mesa, AZ

Shane M. Johnston, O.D. is an optometrist with a practice address in Mesa, Arizona, and NPI 1356791545, issued on Jun 17, 2016. Check the license (Arizona 2108, as entered in NPPES) with the Arizona board that licenses this profession; the Medicare figures below come from public CMS files.

Record from CMS NPPES, file of Aug 9, 2026 · method · Verify with CMS →

NPPES recordNPPES file of Aug 9, 2026
1356791545
Name
Shane M. Johnston
Credential
O.D.
Primary taxonomy
Optometrist 152W00000X
License number
2108 AZ
Self-reported in NPPES; status is on the state search
Practice location
1940 S Country Club Dr Ste 102, Mesa, AZ 85210
Phone
(480) 834-6367
Enumerated
Jun 17, 2016
Record last updated
Jun 5, 2026
Fax
(480) 834-7277
Medicare enrollment
Enrolled (PECOS I20260312003843); accepts Medicare assignment
Entity
Type 1 · individual
Public record from CMS NPPES (open it on the CMS NPI Registry). Enrollment, assignment, school and telehealth: CMS Doctors and Clinicians file, Aug 2026. A record is not a license: verify it with the state board.
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8 nearest optometrist records → All 1,336 in Arizona → Look up another NPI →

Also registered at 1940 S Country Club Dr Ste 102

A shared address usually means a shared clinic or building; it does not show who employs whom.

  1. Fred Fisch, O.D.Optometrist1003814419
  2. Brittany Mohning, ODOptometrist1831932391

Verify Shane M. Johnston in five checks

  1. 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
  2. 2LicenseActive license and public ordersWhich Arizona board licenses this profession
    Search for license 2108    Check the board
  3. 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
  4. 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
  5. 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
Find the Arizona license search

PlainDoctor does not match the HHS-OIG exclusion list to individual records: most entries carry no NPI. Search the OIG exclusion list by name.

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Bills Medicare through one group practice

  1. Kirk T Reed O D P CQueen Creek, AZ

Source: CMS Doctors and Clinicians National Downloadable File (the group practices a clinician bills Medicare through) (data.cms.gov).

Shane M. Johnston among 1,336 optometrist records in Arizona

Shane M. Johnston, O.D. is one of 1,336 optometrist records with a practice address in Arizona. 75% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does. Its NPI, issued in 2016, is newer than 69% of them.

  • NPI issued2016 · 69% of these records are older, 28% newer
  • In a Medicare fileYes · 75% of these records are
  • In the CMS Doctors and Clinicians fileYes · 56% of these records are
  • Graduated2016 · median 2010 among the 746 with a school on file
  • Record last updated2026 · 62% of these records were not updated in five years or more

Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 152W00000X and a Arizona practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).

99 optometrist records list a practice address in Mesa

They are 99 of the 9,151 NPPES records with a practice address in Mesa, and 1,336 optometrist records in Arizona.

All 1,336 in Arizona → Every provider in Mesa → Optometrist nationwide →

The 8 optometrist records with the nearest ZIP codes

  1. Megan Baker, O.D.Mesa, AZ 852101699765792
  2. Heather Betsko, O.D.Mesa, AZ 852101841287364
  3. Bryan Blare, O.D.Mesa, AZ 852101063409548
  4. Inning Chen, O.D.Mesa, AZ 852101265688402
  5. Kimberly Cunningham, O.D.Mesa, AZ 852101992936298
  6. Fred Fisch, O.D.Mesa, AZ 852101003814419
  7. Carlos Grandela, ODMesa, AZ 852101457848319
  8. Barry HerndonMesa, AZ 852101447371844

Common questions

What is Shane M. Johnston, O.D.'s NPI number?

Shane M. Johnston, O.D.'s National Provider Identifier (NPI) is 1356791545, issued on Jun 17, 2016. An NPI identifies a provider in billing; it is not a license.

Where is Shane M. Johnston, O.D. located?

The NPPES record lists a practice address at 1940 S Country Club Dr Ste 102, Mesa, AZ, 85210. Phone: (480) 834-6367. Providers update this record themselves, so call before visiting.

How can I verify Shane M. Johnston, O.D.'s license?

NPPES lists Arizona license number 2108, as entered by the provider. Search the Arizona board that licenses this profession; the NPPES record confirms identity only.

Source: CMS National Plan and Provider Enumeration System (NPPES), file of Aug 9, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. Medicare files from data.cms.gov. An NPI identifies who bills; it is not a license.

Written with AI tools from the named public files; every figure is computed from those files (how it is made).

Figures on PlainDoctor are read from the federal files each page names (CMS NPPES, Medicare Part D, MIPS, Open Payments; the HHS-OIG exclusion list only as counts) and from Census population estimates, with the file date shown beside them. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 9, 2026.