| Sophia Johnson, | |
|
104 Plumtree Rd Ste 107, Bel Air, MD 21015-6095 | |
| (609) 442-3339 | |
| Not Available |
| Full Name | Sophia Johnson |
|---|---|
| Gender | Female |
| Speciality | Optometry |
| Experience | 3 Years |
| Location | 104 Plumtree Rd Ste 107, Bel Air, Maryland |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1770364630 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | I3-0011484 (Delaware) | Secondary |
| 152W00000X | Optometrist | 2954 (Maryland) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Chesapeake Eye Care And Laser Center Llc | 2769460971 | 79 |
| Myeyedr. Optometry Of Delaware Pa | 1052612009 | 27 |
| Provider Name | Chesapeake Eye Care & Laser Center Llc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1548296262 PECOS PAC ID: 2769460971 Enrollment ID: O20040713000454 |
| Mailing Address | Practice Location Address |
|---|---|
| Sophia Johnson, 2661 Riva Rd Ste 1030, Annapolis, MD 21401-7131 Ph: (667) 354-5528 | Sophia Johnson, 104 Plumtree Rd Ste 107, Bel Air, MD 21015-6095 Ph: (609) 442-3339 |
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