DR. JIMMY D JOHNSON O.D.
NPI 1992831135
Optometrist in Omaha, NE

Active since February 24, 2007PECOS Enrolled
17255 DAVENPORT ST, OMAHA, NE 68118(402) 763-6466 Get Directions Write a Review

NPPES record last updated: May 25, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. Jimmy D Johnson O.d. NPPES

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

DR. JIMMY D JOHNSON O.D. (NPI 1992831135) is an individual optometrist in Omaha, Nebraska, licensed in Nebraska (847) and active in the NPI registry since February 2007. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1992831135
Entity TypeIndividualMale
Primary Taxonomy152W00000X
Provider Legal NameDR. JIMMY D JOHNSONCredential: O.D.
Location Address17255 DAVENPORT STOmaha, NE 68118-4092
Mailing Address125 S 66th StLincoln, NE 68510-2302 · (402) 489-9776 · Fax (402) 489-9946
Sole ProprietorYes
Enumeration DateFebruary 24, 2007
Last NPPES UpdateMay 25, 2023
NPPES CertifiedMay 25, 2023
NPI 1992831135 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 NE · 847
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.
17255 DAVENPORT ST, Omaha, NE 68118

Other Identifiers 1

Other6967NE · Blue Cross

Accepted 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)

Dr. Jimmy D Johnson 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 68118 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
$121.35 typical visit price
range $52.69 – $160.21
Typical copayment $30.33 (range $13.17 – $40.05)
Most-billed visit code 99204
Established Patient
$66.00 typical visit price
range $16.90 – $131.25
Typical copayment $16.50 (range $4.22 – $32.81)
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 4

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

Optometrist
17255 DAVENPORT ST, SUITE 139
OMAHA, NE 68118
Optometrist
17255 DAVENPORT ST
OMAHA, NE 68118
Optometrist
17255 DAVENPORT ST
OMAHA, NE 68118
Optometrist
17255 DAVENPORT ST
OMAHA, NE 68118

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 Jimmy Johnson's NPI number?

The NPI number for Jimmy Johnson is 1992831135. It was assigned to this individual provider in the NPPES registry on February 24, 2007.

Where is Jimmy Johnson located?

Jimmy Johnson practices at 17255 Davenport St, Omaha, NE 68118. The listed phone number is (402) 763-6466.

What is Jimmy Johnson's specialty?

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

Is Jimmy Johnson enrolled in Medicare?

Yes. Jimmy Johnson is registered in the Medicare PECOS enrollment system.

What insurance does Jimmy Johnson accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Home State Health, Ambetter from NH Healthy Families and Ambetter from Sunflower Health Plan and 9 other insurers list Jimmy 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 Jimmy Johnson was last updated on May 25, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.