Dr Samuel Lee Johansen, OD | |
214 Waller Ave, Greenwood, SC 29646-2747 | |
(864) 992-6386 | |
Not Available |
Full Name | Dr Samuel Lee Johansen |
---|---|
Gender | Male |
Speciality | Optometry |
Experience | 9 Years |
Location | 214 Waller Ave, Greenwood, South 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 |
---|---|---|---|
1497136139 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
152W00000X | Optometrist | 1872 (South Carolina) | Primary |
Provider Name | Johansen Precision Eye Care Llc |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1184009540 PECOS PAC ID: 7214238484 Enrollment ID: O20151211000901 |
Provider Name | Precision Eye Care Johansens And Brown Llc |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1437616638 PECOS PAC ID: 2365773330 Enrollment ID: O20191007002230 |
Mailing Address | Practice Location Address |
---|---|
Dr Samuel Lee Johansen, OD 300 Bypass 25 Ne, Greenwood, SC 29646 Ph: (864) 992-6386 | Dr Samuel Lee Johansen, OD 214 Waller Ave, Greenwood, SC 29646-2747 Ph: (864) 992-6386 |
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