Victoria Jo Johnson, OD | |
11 Shriner St, Vermillion, SD 57069-1155 | |
(605) 624-2020 | |
Not Available |
Full Name | Victoria Jo Johnson |
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Gender | Female |
Speciality | Optometrist |
Location | 11 Shriner St, Vermillion, South Dakota |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1346928751 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
152W00000X | Optometrist | OPT003533 (Georgia) | Secondary |
152W00000X | Optometrist | 3966 (Minnesota) | Secondary |
152W00000X | Optometrist | 823 (South Dakota) | Primary |
Provider Name | Eugene B. Gabianelli, Md & Assoc. Llc |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1629080155 PECOS PAC ID: 5193702512 Enrollment ID: O20040702000989 |
Mailing Address | Practice Location Address |
---|---|
Victoria Jo Johnson, OD 1703 Arnold Palmer Ln, Elk Point, SD 57025-2313 Ph: (605) 670-0578 | Victoria Jo Johnson, OD 11 Shriner St, Vermillion, SD 57069-1155 Ph: (605) 624-2020 |
Dr. Amy M Dejong, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 120 W Main St, Vermillion, SD 57069 Phone: 605-624-4291 Fax: 604-624-6822 | |
Cynthia Johnson, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 11 Shriner St, Vermillion, SD 57069 Phone: 605-624-2020 | |
Dr. Kevin M Brown, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 11 Shriner St, Vermillion, SD 57069 Phone: 605-624-2020 Fax: 605-624-7961 | |