Tanner Owen Johnson, in Holly Springs, NC - Medicare Optometrist Provider

Tanner Owen Johnson, is a medicare enrolled "Optometrist" provider in Holly Springs, North Carolina. His current practice location is 504 Village Walk Dr, Holly Springs, North Carolina. You can reach out to his office (for appointments etc.) via phone at (919) 351-8600.

Tanner Owen Johnson is licensed to practice in North Carolina (license number 2811) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1700630209.

Contact Information

	Tanner Owen Johnson,
	504 Village Walk Dr, Holly Springs, NC 27540-4440
	(919) 351-8600
	(314) 741-4947

Map and Direction

Healthcare Provider's Profile

Full Name	Tanner Owen Johnson
Gender	Male
Speciality	Optometrist
Location	504 Village Walk Dr, Holly Springs, North Carolina
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1700630209
Provider Enumeration Date: 04/12/2024
Last Update Date: 02/07/2025

Medicare PECOS Information:

PECOS PAC ID: 2769918044
Enrollment ID: I20241210002855

Medical Identifiers

Medical identifiers for Tanner Owen Johnson such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1700630209	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
152W00000X	Optometrist	2811 (North Carolina)	Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Tanner Owen Johnson allows following entities to bill medicare on his behalf.

Provider Name	Eyecare Specialties Of North Carolina Od Pllc
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1699483586 PECOS PAC ID: 8820462252 Enrollment ID: O20230324002403

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Tanner Owen Johnson is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Tanner Owen Johnson, 928 Harvest Point Dr, Fuquay Varina, NC 27526-5588 Ph: (252) 876-7073	Tanner Owen Johnson, 504 Village Walk Dr, Holly Springs, NC 27540-4440 Ph: (919) 351-8600

Reviews and Comments

Optometrist in Holly Springs, NC

Rs Eye Care, Od, Pa Optometrist Medicare: Medicare Enrolled Practice Location: 5237 Sunset Lake Road, Holly Springs, NC 27540 Phone: 919-303-4445 Fax: 919-934-8154
Dr. Adam B Bryan, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 316 Village Walk Drive, Holly Springs, NC 27540 Phone: 919-386-2020
Eye Care Associates Od Pa Optometrist Medicare: Not Enrolled in Medicare Practice Location: 173 Grand Hill Place, Holly Springs, NC 27540 Phone: 919-346-2062 Fax: 919-346-2069
Dr. Phillip M Vito, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 608 Holly Springs Rd, Holly Springs, NC 27540 Phone: 919-577-3937 Fax: 919-577-9260
Dr. Kristy Lynn Tart-bryan, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 316 Village Walk Dr, Holly Springs, NC 27540 Phone: 919-386-2020
Optometrist Medicare: Not Enrolled in Medicare Practice Location: 608 Holly Springs Rd, Holly Springs, NC 27540 Phone: 919-577-3937 Fax: 919-577-9260
Optometrist Medicare: Not Enrolled in Medicare Practice Location: 173 Grand Hill Pl, Holly Springs, NC 27540 Phone: 919-346-2062 Fax: 919-346-2069

Tanner Owen Johnson, - Medicare Optometrist in Holly Springs, NC