Individual provider Active NPI

Joy Gayle Johnson, O.D.

  • Optometrist
  • Nampa, ID
National Provider Identifier
1659324960
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
ODP-742 Issued in ID
Practice address
2100 Caldwell Blvd
Nampa, ID 83651-1510
Phone
(208) 465-5542
Fax
(208) 463-1724
NPI assigned
May 18, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X ODP-742 ID Primary

Addresses

Primary practice location

2100 Caldwell Blvd
Nampa, ID 83651-1510

Mailing address

622 E Main St
Middleton, ID 83644-3080
Phone (208) 585-9500

Other identifiers 1

IdentifierTypeStateIssuer
000308800MedicaidID

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ID
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

Enrollment IDStateProvider typePAC IDDetails
I20050608000317 ID Practitioner - Optometry 6002859238 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Pacific University - College of Optometry, 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Jensen Eye Associates PLLCGroup PAC ID 7113938457, 3 clinicians
Micah S Mills OD PAGroup PAC ID 6305038365, 3 clinicians

Practice addresses (Care Compare)

1615 12TH Ave Rd a
Nampa, ID 83686-6184
Phone 2084673271113

1702 S Kimball Ave
Caldwell, ID 83605-4826
Phone (208) 459-2641

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Quality
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
ODP-742IDMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Drew C Dayton Chartered Optometrist CurrentSince Mar 25, 2019 Accepting new patients
Micah S Mills OD PA Optometrist CurrentSince Apr 1, 2021 Accepting new patients
Jensen Eye Associates PLLC CurrentSince Jun 2, 2022 Accepting new patients
Total Vision PA Optometrist PastSince Apr 1, 2021 Accepting new patients

Locations

1702 S Kimball Ave
Caldwell, ID 83605
Phone (208) 305-2090

622 E Main St
Middleton, ID 83644
Phone (208) 585-9500

1615 12th Ave Rd
Ste A
Nampa, ID 83686
Phone (208) 467-3271

Organizations & group practices 4

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

NPI Registry JSON

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

{
    "created_epoch": "1147910400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1659324960",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "622 E MAIN ST",
            "city": "MIDDLETON",
            "state": "ID",
            "postal_code": "836443080",
            "telephone_number": "208-585-9500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2100 CALDWELL BLVD",
            "city": "NAMPA",
            "state": "ID",
            "postal_code": "836511510",
            "telephone_number": "208-465-5542",
            "fax_number": "208-463-1724"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "JOY",
        "middle_name": "GAYLE",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-18",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "ID",
            "license": "ODP-742",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000308800",
            "state": "ID"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Nampa, ID

Sources for this page

Verify at the official NPI Registry.