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

Dr. Robert John Johnson, OD

Individual provider Optometrist · NPI 1265484604

Dr. Robert John Johnson, OD is an Optometry in Coeur D Alene, Idaho. Graduated from Pacific University - College of Optometry in 1998, 28 years ago. Practices with Kootenai Vision PLLC, a 3-clinician group and accepts Medicare assignment. Licensed in Idaho and Washington.

Years since qualifying
28
Trained at
Pacific University - College of Optometry
Licensed in
ID, WA
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

1801 N 3rd St
Coeur D Alene, ID 83814-3400
Phone: (208) 667-1591
Fax: (208) 676-8574
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Optometrist (primary) Taxonomy 152W00000X · Licence 1000020 (ID)
Optometrist Taxonomy 152W00000X · Licence OD00003408 (WA)

Record details

NPI number1265484604
Entity typeIndividual (Type 1)
GenderMale
Credentials OD
Sole proprietorNo
NPI enumeratedMay 16, 2006
Last updated in NPPESOctober 21, 2010

Medicare enrollment

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

Medicare specialtyOPTOMETRY
Medical schoolPACIFIC UNIVERSITY - COLLEGE OF OPTOMETRY
Graduated 1998 (28 years in practice)
Group practice Kootenai Vision Pllc — 3 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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