Dr Paul Stephen Johnson, OD | |
681 Mall Ring Cir, Henderson, NV 89014-6619 | |
(702) 450-9458 | |
(702) 454-8292 |
Full Name | Dr Paul Stephen Johnson |
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Gender | Male |
Speciality | Optometrist |
Location | 681 Mall Ring Cir, Henderson, Nevada |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1972521235 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
152W00000X | Optometrist | 413 (Nevada) | Primary |
Provider Name | Paul S Johnson, Od, Pc |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1710215421 PECOS PAC ID: 8921018821 Enrollment ID: O20060421000188 |
Mailing Address | Practice Location Address |
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Dr Paul Stephen Johnson, OD 681 Mall Ring Cir, Henderson, NV 89014-6619 Ph: (702) 450-9458 | Dr Paul Stephen Johnson, OD 681 Mall Ring Cir, Henderson, NV 89014-6619 Ph: (702) 450-9458 |
Dr. Aaron Mancuso, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 2461 W Horizon Ridge Pkwy Ste 100, Henderson, NV 89052 Phone: 702-636-2020 Fax: 702-616-2133 | |
Dr. Angela Khakshooy, O.D. Optometrist Medicare: Medicare Enrolled Practice Location: 2703 Peekskill Ave, Henderson, NV 89052 Phone: 310-804-4468 | |
Nancy Tran Phan Gauthier, OD Optometrist Medicare: Medicare Enrolled Practice Location: 695 S Green Valley Pkwy, Henderson, NV 89052 Phone: 702-407-2455 | |
Braden Sorensen Od Pllc Optometrist Medicare: Not Enrolled in Medicare Practice Location: 680 S Green Valley Pkwy Ste 120, Henderson, NV 89052 Phone: 702-889-3937 | |
Kimberly Le Od Pc Optometrist Medicare: Not Enrolled in Medicare Practice Location: 300 E Lake Mead Pkwy, Henderson, NV 89015 Phone: 858-348-7790 | |
Dr. Joseph Lao, O.D. Optometrist Medicare: Medicare Enrolled Practice Location: 543 N Stephanie St Ste 110, Henderson, NV 89014 Phone: 702-888-1079 Fax: 702-333-1016 | |
Trang Tam Tran, O.D. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 540 Marks St, Henderson, NV 89014 Phone: 702-434-2441 Fax: 702-434-6409 |