| Susan Ly Johnson, OD | |
|
124 E Bandera Rd Ste 403, Boerne, TX 78006-2849 | |
| (830) 331-8745 | |
| (830) 331-8749 |
| Full Name | Susan Ly Johnson |
|---|---|
| Gender | Female |
| Speciality | Optometry |
| Experience | 10 Years |
| Location | 124 E Bandera Rd Ste 403, Boerne, Texas |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1235683889 | NPI | - | NPPES |
| 376410201 | Medicaid | TX |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | 8940-TG (Texas) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Boerne Vision Center Pa | 6305094285 | 3 |
| Provider Name | University Of The Incarnate Word |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1003129784 PECOS PAC ID: 9234310301 Enrollment ID: O20110222001023 |
| Provider Name | Boerne Vision Center Pa |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1609149731 PECOS PAC ID: 6305094285 Enrollment ID: O20120918000795 |
| Mailing Address | Practice Location Address |
|---|---|
| Susan Ly Johnson, OD 124 E Bandera Rd Ste 403, Boerne, TX 78006-2849 Ph: (830) 331-8745 | Susan Ly Johnson, OD 124 E Bandera Rd Ste 403, Boerne, TX 78006-2849 Ph: (830) 331-8745 |
Justin M Kim, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 130 Norris Ln, Boerne, TX 78006 Phone: 830-249-3898 Fax: 830-249-9228 | |
Boerne Eyes On Main Pllc Optometrist Medicare: Medicare Enrolled Practice Location: 1365 S Main St, Boerne, TX 78006 Phone: 210-392-1727 | |
Aeg Texas Professional Pllc Optometrist Medicare: Not Enrolled in Medicare Practice Location: 125 Rosewood Ave, Boerne, TX 78006 Phone: 830-249-8090 | |
Dr. Clyde Singleton Od Pa Optometrist Medicare: Not Enrolled in Medicare Practice Location: 27615 Autumn Terrace, Boerne, TX 78006 Phone: 210-732-3200 | |
Stephanie N. Kai, O.D. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 124 E. Bandera Road, Suite 403, Boerne, TX 78006 Phone: 830-331-8745 Fax: 830-331-8749 | |
Dr. Jennifer L Johnson, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 124 E Bandera Rd, Ste 403, Boerne, TX 78006 Phone: 830-331-8745 Fax: 866-897-9855 |