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

Ryan Johnson, OD

Individual provider Optometrist · NPI 1366706525

Ryan Johnson, OD is an Optometry in Boise, Idaho. Qualified in 2012, 14 years ago. Practices with Jeffrey C Johnson, a 4-clinician group and accepts Medicare assignment. Licensed in California and Idaho.

Years since qualifying
14
Licensed in
CA, ID
In the registry since
2012
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

7960 W Rifleman St Ste 150
Boise, ID 83704-9064
Phone: (208) 377-8899
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Vision Therapy Optometrist (primary) Taxonomy 152WV0400X · Licence ODP-100269 (ID)
Optometrist Taxonomy 152W00000X · Licence 14467 (CA)

Record details

NPI number1366706525
Entity typeIndividual (Type 1)
GenderMale
Credentials OD
Sole proprietorNo
NPI enumeratedJuly 2, 2012
Last updated in NPPESJuly 23, 2015

Medicare enrollment

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

Medicare specialtyOPTOMETRY
Medical schoolOTHER
Graduated 2012 (14 years in practice)
Group practice Jeffrey C Johnson — 4 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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