| Jack F Johnson Jr, MD | |
|
1190 Summers Ave, Orangeburg, SC 29115-4922 | |
| (803) 534-0266 | |
| Not Available |
| Full Name | Jack F Johnson Jr |
|---|---|
| Gender | Male |
| Speciality | Ophthalmology |
| Location | 1190 Summers Ave, Orangeburg, South Carolina |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1902912322 | NPI | - | NPPES |
| 061113 | Medicaid | SC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207W00000X | Ophthalmology | 6111 (South Carolina) | Primary |
| Entity Name | Orangeburg Eye Center |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1194831586 PECOS PAC ID: 8628108370 Enrollment ID: O20100608000031 |
| Mailing Address | Practice Location Address |
|---|---|
| Jack F Johnson Jr, MD Po Box 1226, Orangeburg, SC 29116-1226 Ph: (803) 534-0266 | Jack F Johnson Jr, MD 1190 Summers Ave, Orangeburg, SC 29115-4922 Ph: (803) 534-0266 |
Daoling Zhang, MD Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 1190 Summers Ave, Orangeburg, SC 29115 Phone: 803-534-0266 | |
Michael James Mcmullen, M.D. Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 1190 Summers Ave, Orangeburg, SC 29115 Phone: 803-534-0266 | |
Mark C Mcgannon, MD Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 1190 Summers Ave, Orangeburg, SC 29115 Phone: 803-534-0266 |