David Scott Johnson, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

1222 Issued in SC

Practice address

602 E Main St
Bennettsville, SC 29512-3218

Phone

(843) 479-2020

NPI assigned

Nov 15, 2006

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in SC

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Optometry

Education

Pennsylvania College of Optometry, 1992

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Clemson Eye PAGroup PAC ID 4183537764, 51 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: david.johnson.p2@direct.clemsoneye.nextgenshare.com
• FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
• Direct secure messaging: david.johnson.p1@direct.clemsoneye.nextgenshare.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Clemson Eye, PA

  • Ophthalmology Physician
  • Greenville, SC
  • NPI 1447383831

  Optometrist

  Medicare reassignment Care Compare group NPD
• Clemson Eye, PA

  • Optometrist
  • Hartsville, SC
  • NPI 1629686373
  NPD
• Clemson Eye, PA

  • Optometrist
  • Clemson, SC
  • NPI 1790939254
  NPD (past)
• Dillon Eyecare Associates LTD

  • Optometrist
  • Dillon, SC
  • NPI 1437167558
  NPD (past)
• Pee Dee Eye Associates PA

  • Optometrist
  • Hartsville, SC
  • NPI 1508973462
  NPD (past)
• Pee Dee Eye Associates, PA

  • Optometrist
  • Sumter, SC
  • NPI 1861894115
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1163548800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1776902400000",
    "number": "1124190939",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 11407",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352468575",
            "telephone_number": "864-359-1308"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "602 E MAIN ST",
            "city": "BENNETTSVILLE",
            "state": "SC",
            "postal_code": "295123218",
            "telephone_number": "843-479-2020"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "300 E Monroe St",
            "address_purpose": "LOCATION",
            "city": "Dillon",
            "state": "SC",
            "postal_code": "295362560",
            "country_code": "US",
            "telephone_number": "864-654-6706",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "504 S 4th St",
            "address_purpose": "LOCATION",
            "city": "Hartsville",
            "state": "SC",
            "postal_code": "295505720",
            "country_code": "US",
            "telephone_number": "864-654-6706",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "DAVID",
        "middle_name": "SCOTT",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-15",
        "last_updated": "2026-04-23",
        "certification_date": "2026-04-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "SC",
            "license": "1222",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "D12225",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ingram Health Service/Manna House.Inc
• Inspirational Hope, LLC
• Crystal Jackson, MA
• Julia Veretta James, APRN-BC; FNP-C
• Jireh Healthcare
• Renesha Johnson, BS-PSYCHOLOGY
• Rhonda Johnson
• Robert Duren Johnson Jr., MD
• Scott Johnson
• Jonellda Educational Services

• Optometrist in Bennettsville, SC
• Providers in Bennettsville, SC by specialty
• Optometrist in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.