| Lee Michael Johnson, OD | |
|
800 Main Ave Ste A, Tillamook, OR 97141-3760 | |
| (503) 842-5568 | |
| Not Available |
| Full Name | Lee Michael Johnson |
|---|---|
| Gender | Male |
| Speciality | Optometry |
| Experience | 14 Years |
| Location | 800 Main Ave Ste A, Tillamook, Oregon |
| 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 |
|---|---|---|---|
| 1104113497 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | 2698 (Georgia) | Secondary |
| 152W00000X | Optometrist | AT-4289 (Oregon) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Adventist Health Tillamook | Tillamook, OR | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Pacific University | 0345144705 | 26 |
| Tvc Od, Llc | 1456619360 | 2 |
| Provider Name | Pacific University |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1306954011 PECOS PAC ID: 0345144705 Enrollment ID: O20031126000350 |
| Provider Name | Tvc Od, Llc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1790215192 PECOS PAC ID: 1456619360 Enrollment ID: O20171226001850 |
| Mailing Address | Practice Location Address |
|---|---|
| Lee Michael Johnson, OD 800 Main Ave Ste A, Tillamook, OR 97141-3760 Ph: (503) 842-5568 | Lee Michael Johnson, OD 800 Main Ave Ste A, Tillamook, OR 97141-3760 Ph: (503) 842-5568 |
Lighthouse Vision Care, P.c. Optometrist Medicare: Medicare Enrolled Practice Location: 310 Stillwell Ave, Tillamook, OR 97141 Phone: 503-842-6363 Fax: 503-842-6204 | |
Coastal Eyecare Tillamook Llc Optometrist Medicare: Medicare Enrolled Practice Location: 102 Main Ave, Tillamook, OR 97141 Phone: 503-374-0399 Fax: 503-374-0374 | |
Dr. Eric Halperin, OD Optometrist Medicare: Not Enrolled in Medicare Practice Location: 800 Main Ave, Suite A, Tillamook, OR 97141 Phone: 503-842-5568 Fax: 503-842-1122 | |
Rowland Vision Care Inc. Optometrist Medicare: Medicare Enrolled Practice Location: 2500 Main Ave N, Tillamook, OR 97141 Phone: 503-453-2940 | |
Dr. Christopher Don Jenck, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 800 Main Ave Ste A, Tillamook, OR 97141 Phone: 503-842-5568 Fax: 503-842-1122 | |
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