Individual provider · Type 1 NPI

Shane M. Johnston, OD

Optometrist · Mesa, AZ

NPI number 1356791545 Active

Practice location

1940 S Country Club Dr Ste 102
Mesa, AZ 85210-6042

Fax (480) 834-7277

Mailing address

8614 Westwood Center Dr Fl 9
Vienna, VA 22182-2442

Specialties and licenses

TaxonomyCodeLicense
Sports Vision Optometrist 152WS0006X2108 (AZ)
Optometrist Primary 152W00000X2108 (AZ)

Optometrist: Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional e…

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About NPI 1356791545

Shane M. Johnston, OD's National Provider Identifier is 1356791545, issued on Jun 17, 2016. The primary taxonomy on file is Optometrist (152W00000X), and the practice location is in Mesa, AZ. The record was last updated on Jun 5, 2026.