Sophia Elizabeth Johnson, OD in Holland, MI - Medicare Optometrist Provider

Sophia Elizabeth Johnson, OD is a medicare enrolled "Optometrist" provider in Holland, Michigan. Her current practice location is 1148 Washington Ave, Holland, Michigan. You can reach out to her office (for appointments etc.) via phone at (616) 396-8814.

Sophia Elizabeth Johnson is licensed to practice in Michigan (license number 4901005641) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1396476727.

Contact Information

	Sophia Elizabeth Johnson, OD
	1148 Washington Ave, Holland, MI 49423-7728
	(616) 396-8814
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Sophia Elizabeth Johnson
Gender	Female
Speciality	Optometrist
Location	1148 Washington Ave, Holland, Michigan
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1396476727
Provider Enumeration Date: 06/17/2022
Last Update Date: 08/30/2022

Medicare PECOS Information:

PECOS PAC ID: 0547644700
Enrollment ID: I20220907002320

Medical Identifiers

Medical identifiers for Sophia Elizabeth Johnson such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1396476727	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
152W00000X	Optometrist	4901005641 (Michigan)	Primary

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. Sophia Elizabeth Johnson allows following entities to bill medicare on her behalf.

Provider Name	Myeyedr Optometry Of Michigan, Llc
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1639723596 PECOS PAC ID: 7416288949 Enrollment ID: O20191014002048

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. Sophia Elizabeth 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
Sophia Elizabeth Johnson, OD 8614 Westwood Center Dr Fl 9, Vienna, VA 22182-2442 Ph: () -	Sophia Elizabeth Johnson, OD 1148 Washington Ave, Holland, MI 49423-7728 Ph: (616) 396-8814

Reviews and Comments

Optometrist in Holland, MI

Michael P Jacquemin, OD Optometrist Medicare: Medicare Enrolled Practice Location: 12659 Riley St, Holland, MI 49424 Phone: 616-399-1440 Fax: 616-399-2169
Dr. Daniel Patrick Dunn, O.D. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 2942 Pine Edge Ct, Holland, MI 49424 Phone: 616-393-0144 Fax: 616-393-0199
Family Eyecare Of Holland Inc Optometrist Medicare: Not Enrolled in Medicare Practice Location: 456 E 16th St, Suite 1, Holland, MI 49423 Phone: 616-395-2020
Dr. Dirk Schrotenboer, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 11971 James St, Holland, MI 49424 Phone: 616-395-0606 Fax: 616-395-0070
Dr. Tara Marie Oosterbaan, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 999 Washington Ave, Holland, MI 49423 Phone: 616-396-2316 Fax: 616-396-0085
Dr. Gerald Kolk, O.D. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 456 E 16th St, Suite 1, Holland, MI 49423 Phone: 616-395-2020
Rx Optical Optometrist Medicare: Not Enrolled in Medicare Practice Location: 590 E 16th St Ste 20, Holland, MI 49423 Phone: 616-928-9640 Fax: 616-928-9641

Sophia Elizabeth Johnson, OD - Medicare Optometrist in Holland, MI