Bryan L. Johnson, O.d. P.c. is a medicare enrolled "Optometrist" provider in Tishomingo, Oklahoma. Their current practice location is
506 E 24th St, Tishomingo, Oklahoma. You can reach out to their office (for appointments etc.) via phone at
(580) 371-2020.
Bryan L. Johnson, O.d. P.c. is licensed to practice in Oklahoma (license number ) and it also participates in the medicare program. Bryan L. Johnson, O.d. P.c.
is enrolled with medicare and should accept medicare assignments and since they are enrolled in medicare, they may order Medicare Part D Prescription drugs, if eligible. The facility's NPI Number is 1871718965.
Healthcare Provider's Profile
| Full Name | Bryan L. Johnson, O.d. P.c. |
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| Type | Facility |
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| Speciality | Optometrist |
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| Location | 506 E 24th St, Tishomingo, Oklahoma |
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| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1871718965
- Provider Enumeration Date: 04/16/2007
- Last Update Date: 07/21/2022
Medicare PECOS Information:
- PECOS PAC ID: 2264624865
- Enrollment ID: O20101013001091
Medical Identifiers
Medical identifiers for Bryan L. Johnson, O.d. P.c. such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1871718965 | NPI | - | NPPES |
| 446700083-001 | Other | OK | BLUE CROSS BLUE SHIELD |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 152W00000X | Optometrist | (Oklahoma) | Primary |
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works.
Bryan L. Johnson, O.d. P.c. acts as a billing entity for following providers:
| Provider Name | Bryan L Johnson |
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| Provider Type | Practitioner - Optometry |
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| Provider Identifiers | NPI Number: 1912934035
PECOS PAC ID: 1052503653
Enrollment ID: I20101013001168 |
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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. Bryan L. Johnson, O.d. P.c. 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 Address | Practice Location Address |
|---|
Bryan L. Johnson, O.d. P.c.
506 E 24th St,
Tishomingo, OK 73460-3214
Ph: (580) 371-2020 | Bryan L. Johnson, O.d. P.c.
506 E 24th St,
Tishomingo, OK 73460-3214
Ph: (580) 371-2020 |
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