| Samuel D Johnson Od Pllc | |
|
204 Iona St, Fairmont, NC 28340-1616 | |
| (910) 628-8316 | |
| (910) 628-5642 |
| Full Name | Samuel D Johnson Od Pllc |
|---|---|
| Type | Facility |
| Speciality | Optometrist |
| Location | 204 Iona St, Fairmont, North Carolina |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1417446097 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | 2337 (North Carolina) | Primary |
| Provider Name | Harold C Herring |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1053312181 PECOS PAC ID: 7012999568 Enrollment ID: I20040607001081 |
| Provider Name | Samuel David Johnson |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1962838565 PECOS PAC ID: 0446487359 Enrollment ID: I20140319000538 |
| Mailing Address | Practice Location Address |
|---|---|
| Samuel D Johnson Od Pllc Po Box 648, Fairmont, NC 28340-0648 Ph: (910) 628-8316 | Samuel D Johnson Od Pllc 204 Iona St, Fairmont, NC 28340-1616 Ph: (910) 628-8316 |
Hal C Herring Jr., OD, PA Optometrist Medicare: Accepting Medicare Assignments Practice Location: 204 Iona St, Fairmont, NC 28340 Phone: 910-628-8316 Fax: 910-628-5642 | |
Lionel Nelson Chamberlain, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 204 Iona St, Fairmont, NC 28340 Phone: 910-268-8316 Fax: 910-628-5642 | |
Hal C Herring Jr Od Pa Optometrist Medicare: Not Enrolled in Medicare Practice Location: 204 Iona St, Fairmont, NC 28340 Phone: 910-628-8316 Fax: 910-628-5642 | |
Robert Mcdow Cureton, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 204 Iona St, Fairmont, NC 28340 Phone: 901-628-8316 Fax: 910-628-5642 | |
Samuel David Johnson, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 204 Iona St, Fairmont, NC 28340 Phone: 910-628-8316 Fax: 910-628-5642 |