| Jarvis Johnson, | |
|
673 W Washington St, Monticello, GA 31064-1371 | |
| (706) 468-8598 | |
| Not Available |
| Full Name | Jarvis Johnson |
|---|---|
| Gender | Male |
| Speciality | Optometry |
| Experience | 11 Years |
| Location | 673 W Washington St, Monticello, Georgia |
| 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 |
|---|---|---|---|
| 1447627815 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | OPTO002920 (Georgia) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| 360care Services Of Georgia Llc | 5991145112 | 8 |
| Provider Name | Mark Lynn Od And Associates Pc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1417055203 PECOS PAC ID: 4688679269 Enrollment ID: O20061004000066 |
| Provider Name | Second Sight Llc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1467032771 PECOS PAC ID: 9638570765 Enrollment ID: O20210628001604 |
| Provider Name | Ga Doctors Of Optometry Llc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1174105936 PECOS PAC ID: 7719375419 Enrollment ID: O20211221000300 |
| Provider Name | Doug Streifel Llc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1710249172 PECOS PAC ID: 7315193836 Enrollment ID: O20220606001236 |
| Provider Name | 360care Services Of Georgia Llc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1871353599 PECOS PAC ID: 5991145112 Enrollment ID: O20240503002507 |
| Mailing Address | Practice Location Address |
|---|---|
| Jarvis Johnson, 105 Crescent Dr, Forsyth, GA 31029-5464 Ph: (478) 233-0869 | Jarvis Johnson, 673 W Washington St, Monticello, GA 31064-1371 Ph: (706) 468-8598 |
Crescent Eye Care Llc Optometrist Medicare: Not Enrolled in Medicare Practice Location: 673 W Washington St, Monticello, GA 31064 Phone: 706-468-8598 |