| Samuel Johnson, OD | |
|
851 Bayside Rd, Arcata, CA 95521-6769 | |
| (707) 822-7641 | |
| Not Available |
| Full Name | Samuel Johnson |
|---|---|
| Gender | Male |
| Speciality | Optometry |
| Experience | 7 Years |
| Location | 851 Bayside Rd, Arcata, California |
| 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 |
|---|---|---|---|
| 1073009114 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | 33959TLG (California) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Appy Professional Optometric Corporation | 8325181209 | 3 |
| Provider Name | Appy Professional Optometric Corporation |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1710916523 PECOS PAC ID: 8325181209 Enrollment ID: O20100201000096 |
| Mailing Address | Practice Location Address |
|---|---|
| Samuel Johnson, OD 851 Bayside Rd, Arcata, CA 95521-6769 Ph: (707) 822-7641 | Samuel Johnson, OD 851 Bayside Rd, Arcata, CA 95521-6769 Ph: (707) 822-7641 |
James Michael Riley, O D Optometrist Medicare: Accepting Medicare Assignments Practice Location: 1600 Weeot Way, Arcata, CA 95521 Phone: 707-825-5000 Fax: 707-825-6747 | |
Marcus Henri Appy, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 851 Bayside Rd, Arcata, CA 95521 Phone: 707-822-7641 | |
Appy Professional Optometric Corporation Optometrist Medicare: Medicare Enrolled Practice Location: 851 Bayside Rd, Arcata, CA 95521 Phone: 707-822-7641 Fax: 707-822-5883 | |
Loren Martin Azevedo, O. D. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 851 Bayside Rd, Arcata, CA 95521 Phone: 707-822-7641 Fax: 707-822-5883 |