| Bruce L Johnson Od, Inc | |
|
1008 Riverburch Pkwy, Dalton, GA 30721-8630 | |
| (706) 278-0518 | |
| (706) 275-9715 |
| Full Name | Bruce L Johnson Od, Inc |
|---|---|
| Type | Facility |
| Speciality | Optometrist |
| Location | 1008 Riverburch Pkwy, Dalton, Georgia |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1902941008 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | (* (Not Available)) | Primary |
| Provider Name | Bruce L Johnson |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1710919634 PECOS PAC ID: 4183641772 Enrollment ID: I20051103000688 |
| Provider Name | Nicholas J Davis |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1508898412 PECOS PAC ID: 8527086990 Enrollment ID: I20051103000808 |
| Provider Name | Karen Mireya Gonzalez |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1083136345 PECOS PAC ID: 4981976933 Enrollment ID: I20180103000841 |
| Mailing Address | Practice Location Address |
|---|---|
| Bruce L Johnson Od, Inc 1008 Riverburch Pkwy, Dalton, GA 30721-8630 Ph: (706) 278-0518 | Bruce L Johnson Od, Inc 1008 Riverburch Pkwy, Dalton, GA 30721-8630 Ph: (706) 278-0518 |
Karen Mireya Gonzalez, O.D. Optometrist Medicare: Medicare Enrolled Practice Location: 1008 Riverburch Pkwy, Dalton, GA 30721 Phone: 706-278-0518 Fax: 706-275-9715 | |
Dr. William C White, OD Optometrist Medicare: Not Enrolled in Medicare Practice Location: 815 Shugart Rd, Walmart Vision, Dalton, GA 30721 Phone: 706-272-7193 Fax: 706-272-7165 | |
Dr. Ann Elizabeth Hannah, O.D. Optometrist Medicare: Medicare Enrolled Practice Location: 401 N Thornton Ave, Dalton, GA 30720 Phone: 706-278-1388 Fax: 706-278-6480 | |
Malerbi Vision Llc Optometrist Medicare: Not Enrolled in Medicare Practice Location: 1207 W Walnut Ave, Dalton, GA 30720 Phone: 706-226-2722 | |
Dr. Charles M Smith Iii, OD Optometrist Medicare: Not Enrolled in Medicare Practice Location: 415 W Crawford St, Dalton, GA 30720 Phone: 706-278-6113 Fax: 706-226-5741 | |
Dr. Suzanne Marie Johannes, OD Optometrist Medicare: Not Enrolled in Medicare Practice Location: 1341 W Walnut Ave, Dalton, GA 30720 Phone: 706-275-9900 | |
Robert Patterson Optometrist Medicare: Not Enrolled in Medicare Practice Location: 1209 Cleveland Hwy, #289, Dalton, GA 30721 Phone: 252-985-1371 |