Kimberly D Johnson (NPI# 1366595639, PAC ID# 6103922950) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is OPTOMETRY.
| Nation Provider ID (NPI) | 1366595639 |
| PAC ID by PECOS | 6103922950 |
| Professional Enrollment ID | I20070510000569 |
| Full Name | Kimberly D Johnson |
| Organization Legal Name | PACIFIC EYE SURGEONS A CALIFORNIA PROFESSIONAL MEDICAL CORPORATION |
| Address |
931 Oak Park Blvd Suite 201 Pismo Beach CA 93449-3404 |
| Phone Number | 8054736640 |
| Gender | F |
| Credential | OD |
| Medical School | SOUTHERN CALIFORNIA COLLEGE OF OPTOMETRY |
| Graduation Year | 2006 |
| Primary Specialty | OPTOMETRY |
| Group Practice PAC ID | 7810947397 |
| Number of Group Practice Members | 13 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 931 Oak Park Blvd, Suite 201, Pismo Beach, CA 93449-3404 | 8054736640 | PACIFIC EYE SURGEONS A CALIFORNIA PROFESSIONAL MEDICAL CORPORATION |
| 816 E Enos Dr A, Santa Maria, CA 93454-8204 | 8053461717 | PACIFIC EYE SURGEONS A CALIFORNIA PROFESSIONAL MEDICAL CORPORATION |
| Organization Legal Name | PACIFIC EYE SURGEONS A CALIFORNIA PROFESSIONAL MEDICAL CORPORATION |
| Physicians | 11 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Robert Dirksen | Optometry | Pacific Eye Surgeons A California Professional Medical Corporation | 220 Oak Hill Rd, Paso Robles, CA 93446-5427 |
| Ahmad A Amir | Ophthalmology | Pacific Eye Surgeons A California Professional Medical Corporation | 816 E Enos Dr A, Santa Maria, CA 93454-8204 |
| William Edward Mcree | Ophthalmology | Pacific Eye Surgeons A California Professional Medical Corporation | 3855 Broad St, Suite B, San Luis Obispo, CA 93401-7109 |
| Scot A Class | Optometry | Pacific Eye Surgeons A California Professional Medical Corporation | 220 Oak Hill Rd, Paso Robles, CA 93446-5427 |
| Christopher S Hulburd | Ophthalmology | Pacific Eye Surgeons A California Professional Medical Corporation | 3855 Broad St, Suite B, San Luis Obispo, CA 93401-7109 |
| Craig A Merrill | Ophthalmology | Pacific Eye Surgeons A California Professional Medical Corporation | 931 Oak Park Blvd, Suite 201, Pismo Beach, CA 93449-3404 |
| Robert Wright Higginbotham | Ophthalmology | Pacific Eye Surgeons A California Professional Medical Corporation | 3855 Broad St, Suite B, San Luis Obispo, CA 93401-7109 |
| Vanessa Jean Ewing | Optometry | Pacific Eye Surgeons A California Professional Medical Corporation | 3855 Broad St, Suite B, San Luis Obispo, CA 93401-7109 |
| Joseph B Oldenburg | Ophthalmology | Pacific Eye Surgeons A California Professional Medical Corporation | 220 Oak Hill Rd, Paso Robles, CA 93446-5427 |
| Jennifer A Spiegel | Ophthalmology | Pacific Eye Surgeons A California Professional Medical Corporation | 220 Oak Hill Rd, Paso Robles, CA 93446-5427 |
| Street Address |
931 OAK PARK BLVD SUITE 201 |
| City | PISMO BEACH |
| State | CA |
| Zip | 93449-3404 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| David Ruiz | Family Medicine | Arroyo Medical Group, Inc | 931 Oak Park Blvd, Suite 101, Pismo Beach, CA 93449-3403 |
| Mary A Lowery | Internal Medicine | Arroyo Medical Group, Inc | 931 Oak Park Blvd, Suite 101, Pismo Beach, CA 93449-3403 |
| Marisa E Ayers | Physician Assistant | Arroyo Medical Group, Inc | 931 Oak Park Blvd, Suite 101, Pismo Beach, CA 93449-3403 |
| Dewey S Sandberg | Family Medicine | Arroyo Medical Group, Inc | 931 Oak Park Blvd, Suite 101, Pismo Beach, CA 93449-3403 |
| Megan Malzone | Internal Medicine | Arroyo Medical Group, Inc | 931 Oak Park Blvd, Suite 101, Pismo Beach, CA 93449-3403 |
| Craig A Merrill | Ophthalmology | Pacific Eye Surgeons A California Professional Medical Corporation | 931 Oak Park Blvd, Suite 201, Pismo Beach, CA 93449-3404 |
| Ernest E Jones | Family Medicine | Arroyo Medical Group, Inc | 931 Oak Park Blvd, Suite 101, Pismo Beach, CA 93449-3403 |
| Cary J Fitchmun | Family Medicine | Arroyo Medical Group, Inc | 931 Oak Park Blvd, Suite 101, Pismo Beach, CA 93449-3403 |
| Jennifer L Owen | Physician Assistant | Arroyo Medical Group, Inc | 931 Oak Park Blvd, Suite 101, Pismo Beach, CA 93449-3403 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Robert Evans | Gastroenterology | Santa Maria Gastroenterology Medical Group Inc. | 931 Oat Park Blvd, Suite 101, Pismo Beach, CA 93449 |
| Igor J Nastaskin | Gastroenterology | Santa Maria Gastroenterology Medical Group Inc. | 931 Oat Park Blvd, Suite 101, Pismo Beach, CA 93449 |
| Max M Maude | Physician Assistant | Timothy H Jones Md Inc | 302 Vista Del Mar Ave, Shell Beach, CA 93449-1833 |
| Andrew Peterson | Chiropractic | 1251 Shell Beach Rd, Pismo Beach, CA 93449-1953 | |
| Wendy E Weiss | Family Medicine | 575 Price St, Suite 101, Pismo Beach, CA 93449-2553 | |
| Johnnie A Ham | Obstetrics/gynecology | 575 Price St, Suite 313, Pismo Beach, CA 93449-2553 | |
| Sarah A Cole | Nurse Practitioner | Coastal Prestige Medical Services, Inc | 575 Price St, Suite 313, Pismo Beach, CA 93449-2553 |
| Rand C Ritchie | Psychiatry | 354 Main St, Suite C, Pismo Beach, CA 93449-2581 | |
| Denise M Dritsas | Psychologist, Clinical | 310 James Way, Suite 150, Pismo Beach, CA 93449-2877 | |
| Ann Marie Donnelly | Psychologist, Clinical | 310 James Way, Suite 110, Pismo Beach, CA 93449-2877 | |
| Find all physicians in zip 93449 | |||
| City | PISMO BEACH |
| Zip Code | 93449 |
| Specialty | OPTOMETRY |
| City + Specialty | PISMO BEACH + OPTOMETRY |
Please comment or provide details below to improve the information on Kimberly D Johnson.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.