| Christopher David Johnson, OD | |
|
986 Se Uglow Street, Dallas, OR 97338 | |
| (503) 623-3538 | |
| (503) 623-8112 |
| Full Name | Christopher David Johnson |
|---|---|
| Gender | Male |
| Speciality | Optometry |
| Experience | 23 Years |
| Location | 986 Se Uglow Street, Dallas, Oregon |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1740383116 | NPI | - | NPPES |
| 298499 | Medicaid | OR | |
| 212606 | Other | EYE MED VISION INSURANCE | |
| DC7770 | Other | MEDICARE RAILROAD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | 2925ATI (Oregon) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Christopher D Johnson Od Pc | 7517946650 | 2 |
| Provider Name | Christopher D Johnson Od Pc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1366517989 PECOS PAC ID: 7517946650 Enrollment ID: O20040714000475 |
| Mailing Address | Practice Location Address |
|---|---|
| Christopher David Johnson, OD 986 Se Uglow Street, Dallas, OR 97338 Ph: (503) 623-3538 | Christopher David Johnson, OD 986 Se Uglow Street, Dallas, OR 97338 Ph: (503) 623-3538 |
Gary Knowles, OD Optometrist Medicare: Not Enrolled in Medicare Practice Location: 506 Main St, Dallas, OR 97338 Phone: 503-623-9233 Fax: 503-623-9233 | |
John L Barringer, Optometrist Medicare: Not Enrolled in Medicare Practice Location: 606 Sw Hayter St, Dallas, OR 97338 Phone: 503-949-5760 | |
Geoffrey Wade Knowles, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 506 Main St, Dallas, OR 97338 Phone: 503-851-2547 | |
Christopher D. Johnson Od, Pc Optometrist Medicare: Medicare Enrolled Practice Location: 986 Se Uglow St., Dallas, OR 97338 Phone: 503-623-3538 Fax: 503-623-8112 | |
David Christopher Johnson, OD Optometrist Medicare: Not Enrolled in Medicare Practice Location: 986 Se Uglow Ave, Dallas, OR 97338 Phone: 503-623-3538 | |
Polk Vision Clinics Inc. Optometrist Medicare: Medicare Enrolled Practice Location: 506 Main St, Dallas, OR 97338 Phone: 503-623-9233 Fax: 503-623-9233 |