| Cynthia Johnson, OD | |
|
11 Shriner St, Vermillion, SD 57069-1155 | |
| (605) 624-2020 | |
| Not Available |
| Full Name | Cynthia Johnson |
|---|---|
| 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 |
|---|---|---|---|
| 1063451276 | NPI | - | NPPES |
| 9201670 | Medicaid | SD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | SD153 (South Dakota) | Primary |
| Provider Name | Brown Optometric Clinic Pc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1831144153 PECOS PAC ID: 8325046337 Enrollment ID: O20061129000055 |
| Provider Name | Hawkeye Exact Sd 1 Pllc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1013756899 PECOS PAC ID: 8628517703 Enrollment ID: O20240903004253 |
| Mailing Address | Practice Location Address |
|---|---|
| Cynthia Johnson, OD 11 Shriner St, Vermillion, SD 57069-1155 Ph: (605) 624-2020 | Cynthia Johnson, OD 11 Shriner St, Vermillion, SD 57069-1155 Ph: (605) 624-2020 |
Hawkeye Exact Sd 1 Pllc Optometrist Medicare: Medicare Enrolled Practice Location: 11 Shriner St, Vermillion, SD 57069 Phone: 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 | |
Vanderlei Optometric Pc Optometrist Medicare: Not Enrolled in Medicare Practice Location: 11 Shriner St, Vermillion, SD 57069 Phone: 605-624-2020 Fax: 605-624-7961 | |
Victoria Jo Johnson, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 11 Shriner St, Vermillion, SD 57069 Phone: 605-624-2020 | |
Dr. Travis Adam Larson, OD Optometrist Medicare: May Accept Medicare Assignments Practice Location: 11 Shriner St, Vermillion, SD 57069 Phone: 605-624-2020 Fax: 605-624-7961 | |
Dr. Kevin M Brown, O.D. Optometrist Medicare: Medicare Enrolled Practice Location: 11 Shriner St, Vermillion, SD 57069 Phone: 605-624-2020 Fax: 605-624-7961 |