Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Kyle Dale Johnson, OD

Individual provider Optometrist · NPI 1699785410

Dr. Kyle Dale Johnson, OD is an Optometry in Clinton, Missouri. Graduated from Illinois College of Optometry at Chicago in 2003, 23 years ago. Practices with Eyecare Specialties of Missouri LLC, a 12-clinician group and accepts Medicare assignment. Licensed in Kansas and Missouri.

Years since qualifying
23
Trained at
Illinois College of Optometry at Chicago
Licensed in
KS, MO
In the registry since
2006
Specialties on file
2
What do these letters mean?
OD — Doctor of Optometry
An optometrist: examines eyes, prescribes glasses and contacts, and treats many eye conditions.

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Practice location Address checks out

1104 E Ohio St
Clinton, MO 64735-2458
Phone: (660) 864-7116
Fax: (660) 864-7124
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Optometrist (primary) Taxonomy 152W00000X · Licence 2003014755 (MO)
Optometrist Taxonomy 152W00000X · Licence 1687 (KS)

Record details

NPI number1699785410
Entity typeIndividual (Type 1)
GenderMale
Credentials OD
Sole proprietorNo
NPI enumeratedAugust 8, 2006
Last updated in NPPESFebruary 7, 2012

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyOPTOMETRY
Medical schoolILLINOIS COLLEGE OF OPTOMETRY AT CHICAGO
Graduated 2003 (23 years in practice)
Group practice Eyecare Specialties Of Missouri Llc — 12 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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