Organization Active NPI

Precision Eye Care, Johansens and Brown, LLC

  • Optometrist
  • Greenville, SC
National Provider Identifier
1437616638
Registry record updated Feb 23, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
PRECISION EYE CARE, JOHANSENS AND BROWN, LLC
Practice address
6243 White Horse Rd Ste 11-B
Greenville, SC 29611-3800
Phone
(336) 671-2306
NPI assigned
Feb 23, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 23, 2019

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

Authorized official

Name
David Snow Johansen
Title
Co Owner
Phone
(336) 671-2306

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X Primary

Addresses

Primary practice location

6243 White Horse Rd Ste 11-B
Greenville, SC 29611-3800

Mailing address

PO Box 238
Ninety Six, SC 29666-0238

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20191007002230 SC Part B Supplier - Clinic/Group Practice 2365773330 Receives reassigned benefits from 3 practitioners
Practice locations: North Charleston, SC; Seneca, SC; Greenville, SC

National Provider Directory

National Provider Directory

Locations

6243 White Horse Rd
Ste B
Greenville, SC 29611

6243 White Horse Rd
Ste 11B
Greenville, SC 29611
Phone (336) 671-2306

6243 White Horse Rd
Greenville, SC 29611

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1550880000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1550880000000",
    "number": "1437616638",
    "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"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6243 WHITE HORSE RD STE 11-B",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296113800",
            "telephone_number": "336-671-2306"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRECISION EYE CARE, JOHANSENS AND BROWN, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-02-23",
        "last_updated": "2019-02-23",
        "status": "A",
        "authorized_official_last_name": "JOHANSEN",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "SNOW",
        "authorized_official_title_or_position": "CO OWNER",
        "authorized_official_telephone_number": "336-671-2306"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Greenville, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 2019; 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.