| Gordon Stanley Johnson, OD | |
|
2827 Woodruff Rd, Simpsonville, SC 29681-4807 | |
| (864) 520-2480 | |
| Not Available |
| Full Name | Gordon Stanley Johnson |
|---|---|
| Gender | Male |
| Speciality | Optometry |
| Experience | 41 Years |
| Location | 2827 Woodruff Rd, Simpsonville, South Carolina |
| 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 |
|---|---|---|---|
| 1295841369 | NPI | - | NPPES |
| DOO815 | Medicaid | SC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | 815 (South Carolina) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Clark Optometric Center Of Sc P.a. | 0446596274 | 5 |
| Provider Name | Clark Optometric Center Of Sc P.a. |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1063981900 PECOS PAC ID: 0446596274 Enrollment ID: O20190115001847 |
| Mailing Address | Practice Location Address |
|---|---|
| Gordon Stanley Johnson, OD 2827 Woodruff Rd, Simpsonville, SC 29681-4807 Ph: (864) 877-3031 | Gordon Stanley Johnson, OD 2827 Woodruff Rd, Simpsonville, SC 29681-4807 Ph: (864) 520-2480 |
Clark Optometric Center Of Sc, P.a. Optometrist Medicare: Medicare Enrolled Practice Location: 419 Se Main St Ste 300, Simpsonville, SC 29681 Phone: 864-417-2345 Fax: 864-399-4519 | |
Dr. Craig Thomas Rumple, O.D. Optometrist Medicare: May Accept Medicare Assignments Practice Location: 655 Fairview Rd, Suite L, Simpsonville, SC 29680 Phone: 864-963-2828 Fax: 864-967-9099 | |
Sara H Bopp, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 273 Harrison Bridge Rd, Simpsonville, SC 29680 Phone: 864-654-6706 Fax: 864-343-2074 | |
Southern Eye Associates Of South Carolina, Pa Optometrist Medicare: Not Enrolled in Medicare Practice Location: 100 Allawood Ct, Simpsonville, SC 29681 Phone: 864-269-3333 Fax: 864-295-1288 | |
Branscum Vision Optometrist Medicare: Medicare Enrolled Practice Location: 3950 Grandview Dr, Simpsonville, SC 29680 Phone: 864-963-4218 Fax: 864-963-7319 | |
William David Coleman, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 1 Colony Centre Way, Simpsonville, SC 29681 Phone: 864-963-2171 Fax: 864-250-6475 |