Susan Ly Johnson, OD | |
124 E Bandera Rd Ste 403, Boerne, TX 78006-2849 | |
(830) 331-8745 | |
(830) 331-8749 |
Full Name | Susan Ly Johnson |
---|---|
Gender | Female |
Speciality | Optometry |
Experience | 8 Years |
Location | 124 E Bandera Rd Ste 403, Boerne, Texas |
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 |
---|---|---|---|
1235683889 | NPI | - | NPPES |
376410201 | Medicaid | TX |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
152W00000X | Optometrist | 8940-TG (Texas) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Boerne Vision Center Pa | 6305094285 | 3 |
Provider Name | University Of The Incarnate Word |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1003129784 PECOS PAC ID: 9234310301 Enrollment ID: O20110222001023 |
Provider Name | Boerne Vision Center Pa |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1609149731 PECOS PAC ID: 6305094285 Enrollment ID: O20120918000795 |
Mailing Address | Practice Location Address |
---|---|
Susan Ly Johnson, OD 124 E Bandera Rd Ste 403, Boerne, TX 78006-2849 Ph: (830) 331-8745 | Susan Ly Johnson, OD 124 E Bandera Rd Ste 403, Boerne, TX 78006-2849 Ph: (830) 331-8745 |
Justin M Kim, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 130 Norris Ln, Boerne, TX 78006 Phone: 830-249-3898 Fax: 830-249-9228 | |
Eyes On Main Optometrist Medicare: Medicare Enrolled Practice Location: 1365 S Main St, Boerne, TX 78006 Phone: 210-392-1727 | |
Dr Singleton And Associates Optometrist Medicare: Not Enrolled in Medicare Practice Location: 27615 Autumn Terrace, Boerne, TX 78006 Phone: 210-732-3200 | |
Stephanie N. Kai, O.D. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 124 E. Bandera Road, Suite 403, Boerne, TX 78006 Phone: 830-331-8745 Fax: 830-331-8749 | |
Amy S Ferguson, OD Optometrist Medicare: Medicare Enrolled Practice Location: 104 Medical Dr., Boerne, TX 78006 Phone: 830-331-8981 Fax: 830-331-8983 | |
Dr. Jennifer L Johnson, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 124 E Bandera Rd, Ste 403, Boerne, TX 78006 Phone: 830-331-8745 Fax: 866-897-9855 |