JESLEY JOHNSON O.D.
NPI 1265792253
Optometrist in Sunnyvale, CA
About Jesley Johnson O.d. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JESLEY JOHNSON O.D. (NPI 1265792253) is an individual optometrist in Sunnyvale, California, licensed in California (14383) and active in the NPI registry since May 2012. She is enrolled in Medicare PECOS and is a graduate of State University Of New York - State College Optometry (2011).
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 1
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Jesley Johnson O.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Medicare Billing Reassignments
3Medicare enrollment records show Jesley Johnson reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Sunnyvale, CA 94087
- Reassigned Medicare billing, California enrollment
- 8 clinicians in this Medicare group
Sunnyvale, CA 94087
- Reassigned Medicare billing, California enrollment
- 17 clinicians in this Medicare group
Sunnyvale, CA 94087
- Reassigned Medicare billing, California enrollment
- 8 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Areas of Expertise CMS Part B claims 3
Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 94087 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 6
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Jesley Johnson's NPI number?
The NPI number for Jesley Johnson is 1265792253. It was assigned to this individual provider in the NPPES registry on May 23, 2012.
Where is Jesley Johnson located?
Jesley Johnson practices at 1010 W Fremont Ave, Sunnyvale, CA 94087. The listed phone number is (408) 739-6200.
What is Jesley Johnson's specialty?
The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.
Is Jesley Johnson enrolled in Medicare?
Yes. Jesley Johnson is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organizations bill Medicare for Jesley Johnson's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Jesley Johnson reassigns Medicare benefits to 3 organizations: Silicon Valley Eye Physicians (Sunnyvale, CA), Amplify Physicians Of California PC (Sunnyvale, CA) and Mendelson & Mark Optometric Corporation (Sunnyvale, CA). Each 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 Jesley Johnson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Jesley Johnson was last updated on January 31, 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.
# Jesley Johnson, O.D. · NPI 1265792253
Optometrist provider in Sunnyvale, California. Individual provider, active in the CMS NPPES registry since May 23, 2012.
## Identity
- **NPI:** 1265792253 (Entity type: Individual)
- **Enumerated:** May 23, 2012
- **Primary specialty:** Optometrist · taxonomy 152W00000X
- **State license:** 14383 (California)
- **Sole proprietor:** No
## Practice location
- **Address:** 1010 W FREMONT AVE, Sunnyvale, CA 94087-3000
- **Phone:** (408) 739-6200
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health
- **Bills Medicare through:** 3 organizations under Medicare reassignment (form CMS-855R): Silicon Valley Eye Physicians (NPI 1154324572, Sunnyvale, CA); Amplify Physicians Of California PC (NPI 1659113439, Sunnyvale, CA); Mendelson & Mark Optometric Corporation (NPI 1942960661, Sunnyvale, CA) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** State University Of New York - State College Optometry, class of 2011
## Record status
- **NPPES last updated:** January 31, 2013
- **Other identifiers:** Medicare PIN GF785Z (CA)
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Source: [NPI Profile](https://npiprofile.com/npi/1265792253) · Data from the CMS NPPES public registry.