DR. KYLEIGH JOHNSON OD
NPI 1891447363
Optometrist in Issaquah, WA
About Dr. Kyleigh Johnson Od NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. KYLEIGH JOHNSON OD (NPI 1891447363) is an individual optometrist in Issaquah, Washington, licensed in Washington (OD.61276001) and active in the NPI registry since January 2022. She is enrolled in Medicare PECOS, maintains a secondary practice location in Vancouver, and is a graduate of Other (2021).
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Location 1
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
Dr. Kyleigh 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 Reassignments
2Medicare enrollment records show Kyleigh Johnson reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Seattle, WA 98109
- Reassigned Medicare billing, Washington enrollment
- 13 clinicians in this Medicare group
Hillsboro, OR 97124
- Reassigned Medicare billing, Oregon enrollment
- 4 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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 98027 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 17
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 Kyleigh Johnson's NPI number?
The NPI number for Kyleigh Johnson is 1891447363. It was assigned to this individual provider in the NPPES registry on January 25, 2022.
Where is Kyleigh Johnson located?
Kyleigh Johnson practices at 1801 10th Ave NW, Issaquah, WA 98027. The listed phone number is (425) 369-6726.
What is Kyleigh Johnson's specialty?
The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.
Is Kyleigh Johnson enrolled in Medicare?
Yes. Kyleigh 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 Kyleigh Johnson's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Kyleigh Johnson reassigns Medicare benefits to 2 organizations: Eric Bergstrom Od, PLLC (Seattle, WA) and Katherine A. Ruecker, O.D, & Associates, P.C. (Hillsboro, OR). 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 Kyleigh Johnson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Kyleigh Johnson accept?
Health plans from Premera Blue Cross Blue Shield of Alaska and Providence Health Plan list Kyleigh 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 Kyleigh Johnson was last updated on August 3, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.
# Dr. Kyleigh Johnson, OD · NPI 1891447363
Optometrist provider in Issaquah, Washington. Individual provider, active in the CMS NPPES registry since January 25, 2022.
## Identity
- **NPI:** 1891447363 (Entity type: Individual)
- **Enumerated:** January 25, 2022
- **Primary specialty:** Optometrist · taxonomy 152W00000X
- **State license:** OD.61276001 (Washington)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 1801 10TH AVE NW, Issaquah, WA 98027-5384
- **Phone:** (425) 369-6726
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Eric Bergstrom Od, PLLC (NPI 1124289897, Seattle, WA); Katherine A. Ruecker, O.D, & Associates, P.C. (NPI 1689025678, Hillsboro, OR) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2021
## Record status
- **NPPES last updated:** August 3, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1891447363) · Data from the CMS NPPES public registry.