ERICK JOHNSON O.D.
NPI 1902104003
Optometrist in Ellensburg, WA
About Erick Johnson O.d. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
ERICK JOHNSON O.D. (NPI 1902104003) is an individual optometrist in Ellensburg, Washington, licensed in Tennessee (390200000X) and active in the NPI registry since March 2011. He is enrolled in Medicare PECOS, is affiliated with Kittitas Valley Community Hospital, and is a graduate of Southern College Of Optometry (2013).
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 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
Erick 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 Reassignment
Medicare enrollment records show Erick Johnson reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Ellensburg, WA 98926
- Reassigned Medicare billing, Washington 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 11
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.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Kittitas Valley Community Hospital
Critical Access Hospitals · Ellensburg, WAPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 98926 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
Other Providers at the Same Location NPPES 3
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 Erick Johnson's NPI number?
The NPI number for Erick Johnson is 1902104003. It was assigned to this individual provider in the NPPES registry on March 14, 2011.
Where is Erick Johnson located?
Erick Johnson practices at 2201 W Dolarway Rd Ste 2, Ellensburg, WA 98926. The listed phone number is (509) 925-1000.
What is Erick Johnson's specialty?
The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.
Is Erick Johnson enrolled in Medicare?
Yes. Erick 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 Erick Johnson's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Erick Johnson reassigns Medicare benefits to Valley Vision Associates, LLP (Ellensburg, WA). 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 Erick Johnson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Erick Johnson accept?
Health plans from Ambetter Health, Anthem Blue Cross and Blue Shield, Blue Cross Blue Shield of Wyoming, Blue Cross and Blue Shield of Montana and Blue Cross and Blue Shield of Oklahoma and 3 other insurers list Erick 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.
Is Erick Johnson affiliated with any hospitals?
According to CMS data, Erick Johnson is affiliated with Kittitas Valley Community Hospital.
When was this NPI record last updated?
The NPPES record for Erick Johnson was last updated on December 28, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.
# Erick Johnson, O.D. · NPI 1902104003
Optometrist provider in Ellensburg, Washington. Individual provider, active in the CMS NPPES registry since March 14, 2011.
## Identity
- **NPI:** 1902104003 (Entity type: Individual)
- **Enumerated:** March 14, 2011
- **Primary specialty:** Optometrist · taxonomy 152W00000X
- **State license:** 390200000X (Tennessee)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 2201 W DOLARWAY RD STE 2, Ellensburg, WA 98926-8228
- **Phone:** (509) 925-1000 · **Fax:** (509) 925-2474
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health
- **Bills Medicare through:** Valley Vision Associates, LLP (NPI 1710021944, Ellensburg, WA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Southern College Of Optometry, class of 2013
## Record status
- **NPPES last updated:** December 28, 2020
- **Other identifiers:** Medicaid 2044049 (WA)
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Source: [NPI Profile](https://npiprofile.com/npi/1902104003) · Data from the CMS NPPES public registry.