Dr Owen Cannon Johnson, OD in Georgetown, SC - Medicare Optometry Provider

Dr Owen Cannon Johnson, OD is a medicare enrolled "Optometrist" provider in Georgetown, South Carolina. He graduated from medical school in 2003 and has 21 years of diverse experience with area of expertise as Optometry. He is a member of the group practice Indigo Vision Center Pa and his current practice location is 302 Church St, A, Georgetown, South Carolina. You can reach out to his office (for appointments etc.) via phone at (843) 546-2244.

Dr Owen Cannon Johnson is licensed to practice in South Carolina (license number 1279) and he also participates in the medicare program. He may accept medicare assignments (which means he may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance) and his NPI Number is 1346292059.

Contact Information

	Dr Owen Cannon Johnson, OD
	302 Church St, A, Georgetown, SC 29440-2406
	(843) 546-2244
	(843) 546-2255

Map and Direction

Healthcare Provider's Profile

Full Name	Dr Owen Cannon Johnson
Gender	Male
Speciality	Optometry
Experience	21 Years
Location	302 Church St, Georgetown, South Carolina
Accepts Medicare Assignments	May be. He may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance.

Medical Education and Training:

Dr Owen Cannon Johnson graduated from medical school in 2003

NPI Data:

NPI Number: 1346292059
Provider Enumeration Date: 05/17/2006
Last Update Date: 05/09/2023

Medicare PECOS Information:

PECOS PAC ID: 9931094828
Enrollment ID: I20040219000166

Medical Identifiers

Medical identifiers for Dr Owen Cannon Johnson such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1346292059	NPI	-	NPPES
D12791	Medicaid	SC

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
152W00000X	Optometrist	1279 (South Carolina)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Indigo Vision Center Pa	0244280501	2

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Dr Owen Cannon Johnson allows following entities to bill medicare on his behalf.

Provider Name	Indigo Vision Center Pa
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1700071149 PECOS PAC ID: 0244280501 Enrollment ID: O20050125000843

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 Owen Cannon Johnson 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
Dr Owen Cannon Johnson, OD 302 Church St, Georgetown, SC 29440-2406 Ph: (843) 546-2244	Dr Owen Cannon Johnson, OD 302 Church St, A, Georgetown, SC 29440-2406 Ph: (843) 546-2244

Reviews and Comments

Optometrist in Georgetown, SC

Tammy T. Tully Od Pa Optometrist Medicare: Not Enrolled in Medicare Practice Location: 1310 N Fraser St, Georgetown, SC 29440 Phone: 843-520-0576 Fax: 843-520-4398
Tidewater Vision Center Optometrist Medicare: Not Enrolled in Medicare Practice Location: 1175 N Fraser St, Georgetown, SC 29440 Phone: 843-527-2682 Fax: 843-527-2721
Dr. Michelle West Nagro, OD Optometrist Medicare: Medicare Enrolled Practice Location: 302 Church St, Georgetown, SC 29440 Phone: 843-546-2244
Walter A. Mayo, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 1200 Highmarket St, Suite 200, Georgetown, SC 29440 Phone: 843-546-8421 Fax: 843-546-1173
Ltc Eyecare Inc Optometrist Medicare: Not Enrolled in Medicare Practice Location: 511 Prince St, Georgetown, SC 29440 Phone: 843-527-8020 Fax: 843-546-4111
Crystal L. Franklin, Od, Pa Optometrist Medicare: Not Enrolled in Medicare Practice Location: 1310 N Fraser St, Georgetown, SC 29440 Phone: 843-520-0576

Dr Owen Cannon Johnson, OD - Medicare Optometrist in Georgetown, SC