ERICK JOHNSON (O.D.) – Optometrist, NPI 1902104003

ERICK JOHNSON (O.D.) is a healthcare provider. based in Ellensburg, Washington. specializing in OPTOMETRY. They hold the professional credentials O.D.. They hold a License No. 390200000X (TN). The NPI Number for ERICK JOHNSON (O.D.) is 1902104003

Main info

Male
Sole Proprietor
13 Years Of Experience
Accepts Medicare Assignment
Name
ERICK JOHNSON (O.D.)
NPI
1902104003
Phone
(901) 683-0024
Address
2201 W DOLARWAY RD
Enumeration Date
14 March 2011
Last Update Date
28 December 2020

Doctor Profile

Medical School Name
SOUTHERN COLLEGE OF OPTOMETRY
Secondary Phone
5099251000
Graduation Year
2013 (13 years ago)
PAC ID
1052553088
Group Practice PAC ID
8729187893
Professional Enrollment ID
I20150331002862
Address ID
WA989268228EL2201XRDXX401
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:15State licenses:1Digital endpointsOther names

1,102 OPTOMETRY in WA

Provider Addresses for ERICK JOHNSON (O.D.)

  • 2201 W DOLARWAY RD

    SUITE 2

    ELLENSBURG, WA 989268228

    Phone: (901) 683-0024

    Type: Mailing

  • 2201 W DOLARWAY RD STE 2

    ELLENSBURG, WA 989268228

    Phone: (509) 925-1000

    Fax: (509) 925-2474

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 9 Open Payments records for all available years, with a total value of $256.

Total Amount is formed as General ($256) + Research ($0) + Ownership ($0) = $256.

Last reported payment date: 2024-12-23 • Largest payer in this snapshot: Alcon Vision LLC ($97).

Total Amount

$256

General + Research + Ownership

Payments

9

Total payment records

General Amount

$256

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-23

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2015-03-31

PECOS data refreshed: 2026-06-15

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20150331002862IOptometryWATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
92250Photography of the retina675632$0
99213Established patient office or other outpatient visit, 20-29 minutes577340$0
99214Established patient office or other outpatient visit, 30-39 minutes555547$0
92133Imaging of optic nerve11099$0
92134Imaging of retina10382$0
View full utilization report →

Insurance plans in this area (ZIP 98926)

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Provider's Procedures

ERICK JOHNSON (O.D.) performs procedures in OPTOMETRY. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
OPTOMETRYWA92083Measurement of field of vision during daylight conditions3126
OPTOMETRYWA92134Diagnostic imaging of retina9357

Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 8729187893View full group profile
NameSpecialtyState
O P H T H A L M O L O G YWA
O P T O M E T R YWA
-WA
O P T O M E T R YMN
O P T O M E T R YNE
O P T O M E T R YWA

Reviews

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Frequently asked questions

What is ERICK JOHNSON (O.D.)'s NPI number?
ERICK JOHNSON (O.D.)'s NPI is 1902104003 — the number used across U.S. healthcare to identify this provider.
Is ERICK JOHNSON (O.D.) shown as active in public data?
Registry records indicate ERICK JOHNSON (O.D.) maintains an active NPI.
What clinical focus is listed for ERICK JOHNSON (O.D.)?
At a glance, ERICK JOHNSON (O.D.) is tied to Optometrist. Clinical services aligned with this taxonomy classification.
What practice footprint exists for ERICK JOHNSON (O.D.)?
Travel planning: use Ellensburg, Washington as the reference point for ERICK JOHNSON (O.D.), then confirm.
What does 3 location(s) imply?
3 practice locations appear in the available data.

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