Dr Brent Bundy Johnson, OD | |
714 Highway St, Madison, NC 27025-1508 | |
(336) 427-2020 | |
(336) 427-2022 |
Full Name | Dr Brent Bundy Johnson |
---|---|
Gender | Male |
Speciality | Optometry |
Experience | 23 Years |
Location | 714 Highway St, Madison, North Carolina |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1235239641 | NPI | - | NPPES |
44324 | Other | NY | DAVIS (3221) |
44944 | Other | PA | DAVIS (2528) |
44945 | Other | PA | DAVIS (1945) |
49273 | Other | NY | DAVIS (2992) |
000926375001 | Other | NY | HEALTHNOW (3221) |
46709 | Other | NY | SPECTERA (2992) |
55760 | Other | NY | DAVIS (1976) |
JO 1634168 | Other | NY | HIGHMARK (2992) |
44519 | Other | NY | SPECTERA (1976) |
000160882 | Other | NY | EXCELLUS (3221) |
44281 | Other | PA | SPECTERA (1945) |
JO 1368847 | Other | PA | PENN BLUE SHIELD |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
152W00000X | Optometrist | OET 008758 (Pennsylvania) | Secondary |
152W00000X | Optometrist | TUV 006646 (New York) | Secondary |
152W00000X | Optometrist | 1830 (North Carolina) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Myeyedr Optometry Of North Carolina Pllc | 6608019096 | 135 |
Provider Name | Myeyedr Optometry Of North Carolina Pllc |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1023183563 PECOS PAC ID: 6608019096 Enrollment ID: O20130904000726 |
Provider Name | Active Life Eye Care Od Pa |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1740663855 PECOS PAC ID: 5597075259 Enrollment ID: O20151109001223 |
Mailing Address | Practice Location Address |
---|---|
Dr Brent Bundy Johnson, OD 5783 East Lake Rd, Romulus, NY 14541 Ph: (315) 283-8928 | Dr Brent Bundy Johnson, OD 714 Highway St, Madison, NC 27025-1508 Ph: (336) 427-2020 |
Dr. Truc Ly Nguyen Tran, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 714 Highway St, Madison, NC 27025 Phone: 336-427-2020 | |
Myeyedr Optometrist Medicare: Not Enrolled in Medicare Practice Location: 714 N Highway St, Madison, NC 27025 Phone: 336-427-2020 Fax: 336-427-2022 | |
Active Life Eye Care, Od, Pa Optometrist Medicare: Medicare Enrolled Practice Location: 415 W Academy St, Madison, NC 27025 Phone: 336-404-6235 |