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Active NPI 1023637733 Individual Practitioner Female Practitioner

Dr. Danielle Rae Johnson , OD

Optometrist • Hayden, ID

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Danielle Johnson, OD is a certified Optometrist practicing in Hayden, ID. With approximately 6 years of clinical experience since graduating from University Of California - School Of Optometry in 2020, Dr. Johnson delivers high-quality medical care to the local community at 8220 N CORNERSTONE DR STE A.

Dr. Johnson is affiliated with Shoptikal Llc and accepts Medicare assignment.

Frequently performed procedures and clinical services include photography of the retina, imaging of retina, established patient complete exam of visual system. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

8220 N Cornerstone Dr Ste A

Hayden, ID 838358683

Telephone 2087725539
Associated Practice Facility / Clinic
🏢 Breazeal & Associates Pa Inc Facility NPI 1295005056

Medicare Profile & Education

Medical School

University Of California - School Of Optometry

Graduation Year

2020

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Optometrist in Hayden, ID

Experienced Practitioner (5-10 Yrs)
Practitioner Clinical Experience
6 Yrs -11.2 yrs vs City Avg
City Avg: 17.2 Yrs
State Avg: 21.1 Yrs
Regional Practice Density
11 Specialists

Practicing in Hayden, ID (385 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
43.3% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Johnson (6 Years) 6 Yrs
Hayden Specialty Average (17.2 Years) 17.2 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
92250 Photography of the retina
82 79 $112.00 $33.97
92134 Imaging of retina
59 55 $65.00 $36.84
92014 Established patient complete exam of visual system
54 53 $189.00 $116.07
92004 New patient complete exam of visual system
24 24 $228.17 $137.82
92133 Imaging of optic nerve
19 19 $60.00 $32.09
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more
13 12 $69.00 $51.85
92083 Exam of visual field with extended testing
13 11 $99.00 $57.94

Medical Specialties & State Licenses

CMS Verified: 2022-06-07
Optometrist Primary Specialty

NUCC Taxonomy Code: 152W00000X

State License ID ODP-100539

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.

Optometrist - Pediatrics

NUCC Taxonomy Code: 152WP0200X

State License CA 34593

Optometrists who work in Pediatrics are concerned with the prevention, development, diagnosis, and treatment of visual problems in children.

Student in an Organized Health Care Education/Training Program

NUCC Taxonomy Code: 390200000X

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
CA430443 (CA)

Hospital & Practice Group Affiliations

Shoptikal Llc

212 W Ironwood Dr, Coeur D Alene, ID 838141403

Phone: 2087658078

Secondary Practice Locations

200 Minor Lane

Berkeley, CA 947200001

Phone: 5624403222

509 N Sullivan Rd

Spokane Valley, WA 990378531

Phone: 5099220633

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

2 Associated Practitioners
NPI 1396238689

Doctor of Osteopathic Medicine (D.O.)

NPI 1619049228

Doctor of Optometry

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

12 Historical Events
👤
Provider Name / Credentials Updated June 07, 2022

Recorded as DANIELLE JOHNSON, OD

📍
Updated Business Mailing Address October 20, 2021

Registered at 8220 N CORNERSTONE DR STE A, HAYDEN, ID 838358683 (Tel: 2087725539)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) October 20, 2021

Optometrist (License #34593 in CA)

📍
Updated Practice Location July 07, 2021

Registered at 8220 N CORNERSTONE DR STE A, HAYDEN, ID 838358683 (Tel: 2087725539)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 07, 2021

Optometrist (License #ODP-100539 in ID)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) August 03, 2020

Optometrist (License #34593 in CA)

NPI Profile Active April 13, 2020

NPI status registered as active in NPPES database

📍
Updated Practice Location April 13, 2020

Registered at 200 MINOR LANE, BERKELEY, CA 947200001 (Tel: 5624403222)

📍
Updated Business Mailing Address April 13, 2020

Registered at 2391 W GALEN DR, LA HABRA, CA 906313559 (Tel: 5624403222)

👤
Provider Name / Credentials Updated April 13, 2020

Recorded as DANIELLE KOLSCHEFSKI, OD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) April 13, 2020

Student in an Organized Health Care Education/Training Program

🟢
Initial NPI Registration & Enumeration April 13, 2020

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1023637733
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: April 13, 2020
Last Update: June 07, 2022
Sole Proprietor: No

Mailing Address

8220 N Cornerstone Dr Ste A

Hayden, ID 838358683

Phone: 2087725539

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.