Kylee Arnett Johnson, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

4901005534 Issued in MI

Practice address

304 W Houghton Ave
West Branch, MI 48661-1222

Phone

(989) 345-2020

Fax

(989) 345-1281

NPI assigned

Apr 28, 2021

Last updated

Aug 11, 2021By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MI

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Optometry

Education

Ferris State College - College of Optometry, 2021

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

West Branch Eyecare PCGroup PAC ID 8729369590, 2 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: drjohnson@westbrancheyecare.direct.eyemdemr.com
• FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• West Branch Eyecare P.C.

  dba Lesley Lenahan Finkbeiner

  • Optometrist
  • West Branch, MI
  • NPI 1972046670
  Medicare reassignment Care Compare group NPD
• Bay Eye Care Center, PC

  • Ophthalmology Physician
  • Bay City, MI
  • NPI 1235168915
  NPD (past)
• Ogemaw Eye Institute PC

  • Ophthalmology Physician
  • West Branch, MI
  • NPI 1114561727
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1619568000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1628640000000",
    "number": "1386227338",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2351 FINNERTY RD",
            "city": "WEST BRANCH",
            "state": "MI",
            "postal_code": "486619436",
            "telephone_number": "989-709-6426"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "304 W HOUGHTON AVE",
            "city": "WEST BRANCH",
            "state": "MI",
            "postal_code": "486611222",
            "telephone_number": "989-345-2020",
            "fax_number": "989-345-1281"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "KYLEE",
        "middle_name": "ARNETT",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-04-28",
        "last_updated": "2021-08-11",
        "certification_date": "2021-08-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MI",
            "license": "4901005534",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• JCS Optical Inc (New Vision Optical)
• Jill Anne Jennings, M.D.
• Shawna Jobson
• John N Di Bella MDPC
• Kaley Johnson, PA-C
• Susan Linn Johnson, CFNP
• Jonathan Scott Berns DDS PLLC
• Elissa Marie Jones
• Amanda M Jordan
• Jennifer Jordan, RBT

• Optometrist in West Branch, MI
• Providers in West Branch, MI by specialty
• Optometrist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.