Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

KIMBERLY D JOHNSON O.D.
NPI 1366595639
Optometrist in Meridian, ID

Q: What is Kimberly Johnson's NPI number?

The NPI number for Kimberly Johnson is 1366595639. It was assigned to this individual provider in the NPPES registry on January 19, 2007. The provider is also known as Kimberly D. Simon.

Q: What is Kimberly Johnson's specialty?

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

Q: Is Kimberly Johnson enrolled in Medicare?

No. Kimberly Johnson has opted out of Medicare through October 20, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

Q: When was this NPI record last updated?

The NPPES record for Kimberly Johnson was last updated on October 29, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 days 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.

Active since January 19, 2007Opted out of Medicare · through Oct 20, 2027

3403 W CHINDEN BLVD, MERIDIAN, ID 83646(986) 200-4151(986) 200-4152 Get Directions Write a Review

NPPES record last updated: October 29, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Oct 29, 2026, May 12, 2022, Jul 15, 2016 (3 updates tracked since 2016).

On this page

About Kimberly D Johnson O.d. NPPES

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

KIMBERLY D JOHNSON O.D. (NPI 1366595639) is an individual optometrist in Meridian, Idaho, licensed in California (13046) and active in the NPI registry since January 2007. She has opted out of Medicare through October 20, 2027 and remains eligible to order and refer.

NPPES Registry Identity

NPI1366595639

Entity TypeIndividualFemale

Primary Taxonomy152W00000X

Provider Legal NameKIMBERLY D JOHNSONCredential: O.D.

Location Address3403 W CHINDEN BLVDMeridian, ID 83646-7151

Mailing Address3403 W Chinden BlvdMeridian, ID 83646-7151 · (986) 200-4151 · Fax (986) 200-4152

Phone(986) 200-4151

Fax(986) 200-4152

Sole ProprietorNo

Enumeration DateJanuary 19, 2007

Last NPPES UpdateOctober 29, 20263 updates tracked since enumeration

NPPES CertifiedOctober 29, 2026

✔ NPI 1366595639 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 CA · 13046

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.

3403 W CHINDEN BLVD, Meridian, ID 83646

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Other Names 1

Former Name (1)Kimberly D. Simon

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Moda Health Plan, Inc..Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Kimberly D Johnson O.d. has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from October 20, 2023 through October 20, 2027.

Opt-Out Effective DateOctober 20, 2023

Opt-Out In Effect ThroughOctober 20, 2027Opt-out affidavits renew automatically every two years unless cancelled

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 83646 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$121.27 typical visit price

range $52.44 – $160.17

Typical copayment $30.31 (range $13.11 – $40.04)

Most-billed visit code 99204

Established Patient

$65.77 typical visit price

range $16.68 – $130.93

Typical copayment $16.44 (range $4.17 – $32.73)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 8

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

COSTCO WHOLESALE CORPORATION

Pharmacy (Community/Retail Pharmacy)