Gordon Stanley Johnson, OD in Simpsonville, SC

Gordon Stanley Johnson, OD is a medicare enrolled "Optometrist" provider in Simpsonville, South Carolina. He went to Ohio State University - College Of Optometry and graduated in 1985 and has 39 years of diverse experience with area of expertise as Optometry. He is a member of the group practice Clark Optometric Center Of Sc P.a. and his current practice location is 2827 Woodruff Rd, Simpsonville, South Carolina. You can reach out to his office (for appointments etc.) via phone at (864) 520-2480.

Gordon Stanley Johnson is licensed to practice in South Carolina (license number 815) and he also participates in the medicare program. He may accept medicare assignments (which means he may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance) and his NPI Number is 1295841369.

Contact Information

	Gordon Stanley Johnson, OD
	2827 Woodruff Rd, Simpsonville, SC 29681-4807
	(864) 520-2480
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Gordon Stanley Johnson
Gender	Male
Speciality	Optometry
Experience	39 Years
Location	2827 Woodruff Rd, Simpsonville, South Carolina
Accepts Medicare Assignments	May be. He may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance.

Medical Education and Training:

Gordon Stanley Johnson attended and graduated from Ohio State University - College Of Optometry in 1985

NPI Data:

NPI Number: 1295841369
Provider Enumeration Date: 08/22/2006
Last Update Date: 08/26/2019

Medicare PECOS Information:

PECOS PAC ID: 7113053513
Enrollment ID: I20100324000950

Medical Identifiers

Medical identifiers for Gordon Stanley Johnson such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1295841369	NPI	-	NPPES
DOO815	Medicaid	SC

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
152W00000X	Optometrist	815 (South Carolina)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Clark Optometric Center Of Sc P.a.	0446596274	6

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Gordon Stanley Johnson allows following entities to bill medicare on his behalf.

Provider Name	Blue Ridge Vision Associates. Pa
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1053584151 PECOS PAC ID: 1658407051 Enrollment ID: O20100324000958

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

Provider Name	Five Forks Vision Llc
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1609343227 PECOS PAC ID: 5698017838 Enrollment ID: O20190508002074

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Gordon Stanley Johnson is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

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

Reviews and Comments

Optometrist in Simpsonville, SC

Triangle Visions Optometry 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, 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: Not Enrolled in Medicare 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

Gordon Stanley Johnson, OD - Medicare Optometrist in Simpsonville, SC