GOTHENBURG EYECARE & OPTICAL
NPI 1245258292
Optometrist in Gothenburg, NE
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
Specialties & Licenses
Other Names 1
Other Identifiers 2
Group Practice 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Gothenburg Eyecare & Optical is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
Medicare enrollment records show 1 clinician reassigns Medicare billing to Gothenburg Eyecare & Optical, which bills Medicare for the services this clinician delivers.
Clinician (1)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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, NEAccepts 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.
Medicare Product Categories
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.
Is Kimberly Johnson Od LLC enrolled in Medicare?
Yes. Kimberly Johnson Od LLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Kimberly Johnson Od LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Optometry) reassigns their Medicare billing to Kimberly Johnson Od LLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 Sunflower Health Plan and Blue Cross and Blue Shield of Nebraska 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.
# Gothenburg Eyecare & Optical · NPI 1245258292
Optometrist organization in Gothenburg, Nebraska. Organization record, active in the CMS NPPES registry since July 18, 2006.
## Identity
- **NPI:** 1245258292 (Entity type: Organization)
- **Enumerated:** July 18, 2006
- **Primary specialty:** Optometrist · taxonomy 152W00000X
- **Legal business name:** Kimberly Johnson Od Llc
- **Organization subpart:** No
- **Authorized official:** Kimberly Johnson, MEMBER
## Practice location
- **Address:** 902 AVENUE D, STE 102 B, Gothenburg, NE 69138-1900
- **Phone:** (308) 537-2020 · **Fax:** (308) 537-2280
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 1 clinician (Optometry) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** June 8, 2013
- **Other identifiers:** Other 099868 (NE); Medicaid 10025277400 (NE)
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Source: [NPI Profile](https://npiprofile.com/npi/1245258292) · Data from the CMS NPPES public registry.