RANDALL RICHARD JOHNSON OD
NPI 1780640391
Optometrist in Davenport, IA
About Randall Richard Johnson Od NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
RANDALL RICHARD JOHNSON OD (NPI 1780640391) is an individual optometrist in Davenport, Iowa, licensed in Iowa (02142) and active in the NPI registry since April 2006. He is enrolled in Medicare PECOS and is a graduate of New England College Of Optometry (1999).
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 2
Accepted Insurance
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
Randall Richard Johnson Od 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 Reassignment
Medicare enrollment records show Randall Johnson reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Bettendorf, IA 52722
- Reassigned Medicare billing, Iowa enrollment
- 2 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 7
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 52806 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Medicare Quality Performance CMS QPP · MIPS
Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.
Reported Quality Measures
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 Randall Johnson's NPI number?
The NPI number for Randall Johnson is 1780640391. It was assigned to this individual provider in the NPPES registry on April 22, 2006.
Where is Randall Johnson located?
Randall Johnson practices at 102 E Kimberly Rd, Davenport, IA 52806. The listed phone number is (563) 386-1950.
What is Randall Johnson's specialty?
The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.
Is Randall Johnson enrolled in Medicare?
Yes. Randall 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 organization bills Medicare for Randall Johnson's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Randall Johnson reassigns Medicare benefits to Johnson Eyecare, P.C. (Bettendorf, IA). The 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 Randall Johnson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Randall Johnson accept?
Health plans from Anthem Blue Cross and Blue Shield, Blue Cross Blue Shield of Wyoming, Blue Cross and Blue Shield of Louisiana, Blue Cross and Blue Shield of Montana and Blue Cross and Blue Shield of Oklahoma and 9 other insurers list Randall Johnson 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 Randall Johnson was last updated on July 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 months 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.
# Randall Richard Johnson, OD · NPI 1780640391
Optometrist provider in Davenport, Iowa. Individual provider, active in the CMS NPPES registry since April 22, 2006.
## Identity
- **NPI:** 1780640391 (Entity type: Individual)
- **Enumerated:** April 22, 2006
- **Primary specialty:** Optometrist · taxonomy 152W00000X
- **State license:** 02142 (Iowa)
- **Sole proprietor:** No
## Practice location
- **Address:** 102 E KIMBERLY RD, Davenport, IA 52806-5922
- **Phone:** (563) 386-1950 · **Fax:** (563) 386-1021
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health
- **Bills Medicare through:** Johnson Eyecare, P.C. (NPI 1780742908, Bettendorf, IA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** New England College Of Optometry, class of 1999
## Record status
- **NPPES last updated:** July 13, 2026
- **Other identifiers:** Other 37150; Other J01642089
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Source: [NPI Profile](https://npiprofile.com/npi/1780640391) · Data from the CMS NPPES public registry.