Kim Johnson Butler, OD - Medicare Optometrist in El Cajon, CA

Kim Johnson Butler, OD is a medicare enrolled "Optometrist" provider in El Cajon, California. His current practice location is 1273 Broadway, El Cajon, California. You can reach out to his office (for appointments etc.) via phone at (619) 579-2345.

Kim Johnson Butler is licensed to practice in California (license number OPT6405TPA) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1467444844.

Contact Information

Kim Johnson Butler, OD
1273 Broadway,
El Cajon, CA 92021-4902
(619) 579-2345
(619) 579-0876

Map and Direction




Healthcare Provider's Profile

Full NameKim Johnson Butler
GenderMale
SpecialityOptometrist
Location1273 Broadway, El Cajon, California
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1467444844
  • Provider Enumeration Date: 08/22/2005
  • Last Update Date: 07/24/2009
  Medicare PECOS Information:
  • PECOS PAC ID: 2264566538
  • Enrollment ID: I20100823000685

Medical Identifiers

Medical identifiers for Kim Johnson Butler such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1467444844NPI-NPPES
SD0064050MedicaidCA
SD0064051MedicaidCA

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
152W00000XOptometrist OPT6405TPA (California)Primary
152WC0802XOptometrist - Corneal And Contact Management OPT6405TPA (California)Secondary
152WX0102XOptometrist - Occupational Vision OPT6405TPA (California)Secondary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Kim Johnson Butler is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Kim Johnson Butler, OD
1273 Broadway,
El Cajon, CA 92021-4902

Ph: (619) 579-2345
Kim Johnson Butler, OD
1273 Broadway,
El Cajon, CA 92021-4902

Ph: (619) 579-2345

Reviews and Comments


Optometrist in El Cajon, CA

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Dr. Queen Lucky Thach, O.D.
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Phone: 619-660-0272    Fax: 619-660-0310
Yelena Davydova, OD
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Phone: 619-441-0138    
Dr. Smit Ashok Patel, O.D.
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Medicare: May Accept Medicare Assignments
Practice Location: 1071 Broadway, El Cajon, CA 92021
Phone: 619-442-6686    Fax: 619-442-8023

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.