Dr Gabriel Jay Johnson, OD is a
Optometrist based in Pennsdale, Pennsylvania. Dr Gabriel Jay Johnson is licensed to practice in Pennsylvania (license number OEG001770) and his current practice location is
300 Lycoming Mall Cir, Suite 264, Pennsdale, Pennsylvania. He can be reached at his office (for appointments etc.) via phone at
(570) 546-8315.
NPI number for Dr Gabriel Jay Johnson is 1972631752 and his current mailing address is 918 W 4th St, Apt. 1e, Williamsport, Pennsylvania. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1972631752.
Healthcare Provider's Profile
Full Name | Dr Gabriel Jay Johnson |
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Gender | Male |
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Speciality | Optometrist |
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Location | 300 Lycoming Mall Cir, Pennsdale, Pennsylvania |
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Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
NPI Data:
- NPI Number: 1972631752
- Provider Enumeration Date: 03/01/2007
- Last Update Date: 07/08/2007
Medical Identifiers
Medical identifiers for Dr Gabriel Jay Johnson such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1972631752 | NPI | - | NPPES |
PA1770 | Other | PA | EYEMED |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
152W00000X | Optometrist | OEG001770 (Pennsylvania) | Primary |
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. Dr Gabriel Jay Johnson is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Dr Gabriel Jay Johnson, OD 918 W 4th St, Apt. 1e, Williamsport, PA 17701-5804 Ph: (484) 213-7757 | Dr Gabriel Jay Johnson, OD 300 Lycoming Mall Cir, Suite 264, Pennsdale, PA 17756-8072 Ph: (570) 546-8315 |
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