Kimberly D. Johnson, O.D.
NPI 1366595639ActiveIndividual· Optometrist· Meridian, ID
Opted out of Medicare from October 2023 to October 2027. Optometrist (O.D.) in Meridian, Idaho, licensed in CA, with an NPI issued in January 2007. Part D covered 17 prescriptions written in 2024, 71% of them generic. Alcon Vision LLC reported $26.11 in payments in 2025, mostly food and beverage.
Overview
| NPI | 1366595639 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | O.D. |
| Sole proprietor | No |
| NPI issued | Jan 19, 2007 |
| Last updated in NPPES | Oct 29, 2026 |
| Certified by provider | Oct 29, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Optometrist Primary | 152W00000X | 13046 | CA |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|---|
| Opt-out | Opted out Oct 20, 2023 – Oct 20, 2027 |
| Can order and refer | Yes |
During an opt-out period the provider sees Medicare patients only under private contracts, and Medicare does not pay claims for their services.
Part D prescriptions in 2024
| Prescriptions (claims) | 17 · 23 30-day fills |
|---|---|
| Patients | 12 |
| Total drug cost | $654.03 |
| Generic share | 71% of claims |
Industry payments (Open Payments)
- 2025$26.11 · 1 payment from 1 company
- 2024$125.75 · 3 payments from 1 company
Top paying companies in 2025
| Company | Amount | Payments |
|---|---|---|
| Alcon Vision LLC | $26.11 | 1 |
What the 2025 payments were for
- Food and Beverage$26.11 · 1 payment
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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