GOTHENBURG EYECARE & OPTICAL
NPI 1245258292
Optometrist in Gothenburg, NE

Active since July 18, 2006
902 AVENUE D, STE 102 B, GOTHENBURG, NE 69138(308) 537-2020(308) 537-2280 Get Directions Write a Review

NPPES record last updated: June 8, 2013. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Gothenburg Eyecare & Optical NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

GOTHENBURG EYECARE & OPTICAL (NPI 1245258292) is a healthcare organization registered as an optometrist in Gothenburg, Nebraska and active in the NPI registry since July 2006. The organization lists Kimberly Johnson, Member, as its authorized official.

NPPES Registry Identity

NPI1245258292
Entity TypeOrganization
Primary Taxonomy152W00000X
Legal Business NameKIMBERLY JOHNSON OD LLC
Location Address902 AVENUE D, STE 102 BGothenburg, NE 69138-1900
Mailing Address902 Avenue D, Ste 102 BGothenburg, NE 69138-1900 · (308) 537-2020
Fax(308) 537-2280
Organization SubpartNo
Authorized OfficialKimberly JohnsonMember · (308) 537-2020
Enumeration DateJuly 18, 2006
Last NPPES UpdateJune 8, 2013
NPI 1245258292 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyOptometristEye and Vision Services Providers
Taxonomy Code152W00000X
License Licensed in NE · 1232
Definition
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 education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system.
902 AVENUE D, Gothenburg, NE 69138

Other Names 1

Doing Business AsGothenburg Eyecare & Optical

Other Identifiers 2

Other099868NE · Medicare Group Provider Number
Medicaid10025277400NE

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

Medical Equipment Supplier Medicare DMEPOS 2

Medicare supplier enrollment and the product categories Kimberly Johnson Od LLC carries, from the Medicare DMEPOS supplier directory.

Kimberly Johnson Od LLC

DMEPOS supplier · Gothenburg, NE

Accepts Medicare assignment

Kimberly Johnson Od LLC agrees to accept the Medicare-approved amount as full payment for covered equipment and supplies. Medicare patients are not billed beyond the standard deductible and coinsurance.

PTAN (Medicare Supplier Number)20517359
Medicare Participant SinceJanuary 1, 2013
Supplier Location902 Avenue D 102BGothenburg, NE 69138
Supplier Specialties
Optometrist

Medicare Product Categories

Prosthetic Lenses: Conventional Eyeglasses
Conventional Eyeglasses
Prosthetic Lenses: Conventional Contact Lenses
Conventional Contact Lenses
Product categories are from the Medicare DMEPOS supplier directory. Contact the supplier to confirm current availability of specific items.

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Durable Medical Equipment & Medical Supplies
902 AVENUE D, SUITE 102
GOTHENBURG, NE 69138
Pharmacist
902 AVENUE D
GOTHENBURG, NE 69138

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kimberly Johnson Od LLC's NPI number?

The NPI number for Kimberly Johnson Od LLC is 1245258292. It was assigned to this organization in the NPPES registry on July 18, 2006. The provider is doing business as Gothenburg Eyecare & Optical.

Where is Kimberly Johnson Od LLC located?

Kimberly Johnson Od LLC is located at 902 Avenue D Ste 102 B, Gothenburg, NE 69138. The listed phone number is (308) 537-2020.

What is Kimberly Johnson Od LLC's specialty?

The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.

Does Kimberly Johnson Od LLC accept Medicare assignment for medical equipment?

Yes. As a Medicare medical equipment supplier, Kimberly Johnson Od LLC accepts Medicare assignment: the supplier accepts the Medicare-approved amount as payment in full for covered equipment and supplies.

What insurance does Kimberly Johnson Od LLC accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Home State Health, Ambetter from Sunflower Health Plan and Blue Cross and Blue Shield of Nebraska and 1 other insurer list Kimberly Johnson Od LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Kimberly Johnson Od LLC was last updated on June 8, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.