Jeany Johnson, OD | |
5610 River Way, Buena Park, CA 90621-1744 | |
(317) 340-5782 | |
Not Available |
Full Name | Jeany Johnson |
---|---|
Gender | Female |
Speciality | Optometry |
Experience | 10 Years |
Location | 5610 River Way, Buena Park, California |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1992225056 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
152W00000X | Optometrist | 33670 (California) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Aeg Texas Professional Pllc | 4486985678 | 166 |
Provider Name | Aeg Texas Professional Pllc |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1457905937 PECOS PAC ID: 4486985678 Enrollment ID: O20191021001152 |
Mailing Address | Practice Location Address |
---|---|
Jeany Johnson, OD 5610 River Way, Buena Park, CA 90621 Ph: () - | Jeany Johnson, OD 5610 River Way, Buena Park, CA 90621-1744 Ph: (317) 340-5782 |
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