Dr Kyle Dale Johnson, OD in Clinton, MO - Medicare Optometry Provider

Dr Kyle Dale Johnson, OD is a medicare enrolled "Optometrist" provider in Clinton, Missouri. He went to Illinois College Of Optometry At Chicago and graduated in 2003 and has 21 years of diverse experience with area of expertise as Optometry. He is a member of the group practice Eyecare Specialties Of Missouri Llc and his current practice location is 1104 E Ohio St, Clinton, Missouri. You can reach out to his office (for appointments etc.) via phone at (660) 864-7116.

Dr Kyle Dale Johnson is licensed to practice in Missouri (license number 2003014755) 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 1699785410.

Contact Information

	Dr Kyle Dale Johnson, OD
	1104 E Ohio St, Clinton, MO 64735-2458
	(660) 864-7116
	(660) 864-7124

Map and Direction

Healthcare Provider's Profile

Full Name	Dr Kyle Dale Johnson
Gender	Male
Speciality	Optometry
Experience	21 Years
Location	1104 E Ohio St, Clinton, Missouri
Accepts Medicare Assignments	Yes. 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 Kyle Dale Johnson attended and graduated from Illinois College Of Optometry At Chicago in 2003

NPI Data:

NPI Number: 1699785410
Provider Enumeration Date: 08/08/2006
Last Update Date: 02/07/2012

Medicare PECOS Information:

PECOS PAC ID: 9133141138
Enrollment ID: I20051219000629

Medical Identifiers

Medical identifiers for Dr Kyle Dale Johnson such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1699785410	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
152W00000X	Optometrist	2003014755 (Missouri)	Primary
152W00000X	Optometrist	1687 (Kansas)	Secondary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Eyecare Specialties Of Missouri Llc	9931421187	7

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Dr Kyle Dale Johnson allows following entities to bill medicare on his behalf.

Provider Name	Eyecare Specialties Of Missouri Llc
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1730596248 PECOS PAC ID: 9931421187 Enrollment ID: O20141125002051

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 Kyle Dale Johnson 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 Address	Practice Location Address
Dr Kyle Dale Johnson, OD 1516 S 5th St E, Louisburg, KS 66053-4186 Ph: (913) 244-8655	Dr Kyle Dale Johnson, OD 1104 E Ohio St, Clinton, MO 64735-2458 Ph: (660) 864-7116

Reviews and Comments

Optometrist in Clinton, MO

Eyecare Specialties Optometrist Medicare: Not Enrolled in Medicare Practice Location: 1104 E Ohio St, Clinton, MO 64735 Phone: 660-885-7116
Dr. Lisa K Parks, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 106 W Jefferson St, Clinton, MO 64735 Phone: 660-885-2800 Fax: 660-885-5353
Parks Optical Inc Optometrist Medicare: Medicare Enrolled Practice Location: 106 W Jefferson St, Clinton, MO 64735 Phone: 660-885-2800 Fax: 660-885-5353
Daniel John Weber, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 1602 N 2nd St, Clinton, MO 64735 Phone: 660-885-8171 Fax: 660-890-8496

Dr Kyle Dale Johnson, OD - Medicare Optometrist in Clinton, MO