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KIM JOHNSON BUTLER O.D.
NPI 1467444844
Optometrist in El Cajon, CA

Active since August 22, 2005PECOS Enrolled
1273 BROADWAY, EL CAJON, CA 92021(619) 579-2345(619) 579-0876 Get Directions Write a Review

NPPES record last updated: July 24, 2009. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Kim Johnson Butler O.d. NPPES

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

KIM JOHNSON BUTLER O.D. (NPI 1467444844) is an individual optometrist in El Cajon, California, licensed in California (OPT6405TPA) and active in the NPI registry since August 2005. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1467444844
Entity TypeIndividualMale
Primary Taxonomy152W00000X
Provider Legal NameKIM JOHNSON BUTLERCredential: O.D.
Location Address1273 BROADWAYEl Cajon, CA 92021-4902
Mailing Address1273 BroadwayEl Cajon, CA 92021-4902 · (619) 579-2345 · Fax (619) 579-0876
Phone(619) 579-2345
Fax(619) 579-0876
Sole ProprietorYes
Enumeration DateAugust 22, 2005
Last NPPES UpdateJuly 24, 2009
✔ NPI 1467444844 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyOptometristEye and Vision Services Providers
Taxonomy Code152W00000X
License✔ Licensed in CA · OPT6405TPA
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.

Also ListedOptometrist · Corneal and Contact ManagementTaxonomy 152WC0802X · License OPT6405TPA (CA)
Also ListedOptometrist · Occupational VisionTaxonomy 152WX0102X · License OPT6405TPA (CA)
1273 BROADWAY, El Cajon, CA 92021
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Other Identifiers 5

Medicare UPINT10313
MedicaidSD0064050CA
MedicaidSD0064051CA
Medicare NSC0206600001
Medicare PINOP6405

Accepted Insurance

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

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kim Johnson Butler O.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 92021 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
$140.22 typical visit price
range $62.10 – $184.71
Typical copayment $35.05 (range $15.52 – $46.17)
Most-billed visit code 99204
Established Patient
$76.87 typical visit price
range $20.62 – $151.42
Typical copayment $19.21 (range $5.15 – $37.85)
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.

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 Kim Butler's NPI number?

The NPI number for Kim Butler is 1467444844. It was assigned to this individual provider in the NPPES registry on August 22, 2005.

Where is Kim Butler located?

Kim Butler practices at 1273 Broadway, El Cajon, CA 92021. The listed phone number is (619) 579-2345.

What is Kim Butler's specialty?

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

Is Kim Butler enrolled in Medicare?

Yes. Kim Butler is registered in the Medicare PECOS enrollment system.

What insurance does Kim Butler accept?

Health plans from Providence Health Plan list Kim Butler 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 Kim Butler was last updated on July 24, 2009. NPI Profile syncs with the weekly NPPES data releases published by CMS.