Johansen Precision Eye Care LLC

Primary specialty

OptometristTaxonomy code 152W00000X

License

1872 Issued in SC

Legal business name

JOHANSEN PRECISION EYE CARE LLC

Practice address

214 Waller Ave
Greenwood, SC 29646-2747

Phone

(864) 543-3939

Fax

(864) 538-6284

NPI assigned

Jul 28, 2015

Last updated

Aug 30, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Samuel Lee Johansen, O.D.NPI 1497136139

Title

Owner

Phone

(864) 992-6386

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in SC

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Samuel Lee Johansen, OD

  • Optometrist
  • Greenwood, SC
  • NPI 1497136139
  Medicare reassignment Authorized official
• Norris Rick Philbeck, OD

  • Corneal and Contact Management Optometrist
  • McClellanville, SC
  • NPI 1275608499
  Medicare reassignment NPD

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

{
    "created_epoch": "1438041600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1693353600000",
    "number": "1184009540",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 238",
            "city": "NINETY SIX",
            "state": "SC",
            "postal_code": "296660238",
            "telephone_number": "864-223-6062",
            "fax_number": "864-538-6284"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "214 WALLER AVE",
            "city": "GREENWOOD",
            "state": "SC",
            "postal_code": "296462747",
            "telephone_number": "864-543-3939",
            "fax_number": "864-538-6284"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2433 Wilson Rd",
            "address_purpose": "LOCATION",
            "city": "Newberry",
            "state": "SC",
            "postal_code": "291081644",
            "country_code": "US",
            "telephone_number": "803-276-6959",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "JOHANSEN PRECISION EYE CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-07-28",
        "last_updated": "2023-08-30",
        "certification_date": "2023-08-30",
        "status": "A",
        "authorized_official_last_name": "JOHANSEN",
        "authorized_official_first_name": "SAMUEL",
        "authorized_official_middle_name": "LEE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "864-992-6386",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "SC",
            "license": "1872",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lauren Deanne Jennings, PHARMD.
• Jeremiah Investors (Senior Helpers)
• Jessica & Company, LLC (Angels In Scrubs)
• Jim Nasim (Carolina Dental Docs of Greenwood)
• Jim Nasim DMD PA
• Samuel Lee Johansen, OD
• John Sprouse (Advanced Biomechanical Solutions)
• Chacko John, M.D.
• Allie Johnson, DPT
• Deshandra Felisha Johnson, LPC

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.