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

Dr. Ryan Scott Johnson, OD

Individual provider Optometrist · NPI 1184653404

Dr. Ryan Scott Johnson, OD is an Optometry in Chubbuck, Idaho. Graduated from Pacific Medical College in 2000, 26 years ago. Practices with Alameda Vision Inc, a 3-clinician group and accepts Medicare assignment. Licensed in Idaho.

Years since qualifying
26
Trained at
Pacific Medical College
Licensed in
ID
In the registry since
2006
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

4240 Yellowstone Ave
Chubbuck, ID 83202-2420
Phone: (208) 238-2020
Fax: (208) 238-2069
Show map & directions

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

Specialties & licences

Optometrist (primary) Taxonomy 152W00000X · Licence ODP-1037 (ID)

Record details

NPI number1184653404
Entity typeIndividual (Type 1)
GenderMale
Credentials OD
Sole proprietorNo
NPI enumeratedJune 30, 2006
Last updated in NPPESJuly 19, 2021
Certification dateJuly 19, 2021
Mailing address12482 Dallin Rd, Pocatello, ID 83202-5073

Medicare enrollment

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

Medicare specialtyOPTOMETRY
Medical schoolPACIFIC MEDICAL COLLEGE
Graduated 2000 (26 years in practice)
Group practice Alameda Vision Inc — 3 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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