JACK F JOHNSON JR. (NPI# 1902912322) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1902912322 |
| Entity Type | Individual |
| Full Name | JACK F JOHNSON JR. |
| Credential | MD |
| Practice Address |
1190 Summers Ave Orangeburg SC 29115-4922 |
| Mailing Address |
Po Box 1226 Orangeburg SC 29116-1226 |
| Practice Telephone | 8035340266 |
| Mailing Telephone | 8035340266 |
| Enumeration Date | 2006-08-21 |
| Last Update Date | 2007-10-09 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207W00000X | Ophthalmology | 6111 | SC | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| SC | 061113 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093284382 | Jack Lee Johnson II | Counselor | 1680 North Fair Oaks, Pasadena, CA 91104 | 2018-11-16 |
| 1881129419 | Jack Alston Johnson | Emergency Medicine | 2300 Lone Star Rd, Mansfield, TX 76063-8744 | 2017-04-20 |
| 1396063418 | Jack Simpson Johnson | General Practice | 979 Mt. Vernon Rd., Cookeville, TN 38501 | 2010-05-13 |
| 1295992030 | Jack Allen Johnson Jr. | Psychologist | 12469 Timberwood Dr, Walker, LA 70785-5743 | 2008-05-20 |
| 1548332570 | Jack W Johnson | Psychiatry & Neurology | 12377 Lewis Street, Suite #104, Garden Grove, CA 92840-4691 | 2006-11-14 |
| 1568570018 | Jack Lawrence Johnson | Marriage & Family Therapist | 3576 Arlington Ave, Suite 307, Riverside, CA 92506-3943 | 2006-08-25 |
| 1730699695 | Jack N Johnson | Naturopath | 5603 38th Ave Nw, Gig Harbor, WA 98335-8218 | 2017-10-05 |
| 1962638999 | Jack Frank Johnson IIi | Clinical Nurse Specialist | 724 Arden Ln, Suite 100, Rock Hill, SC 29732-2996 | 2009-06-04 |
| 1801859996 | Jack Leegon Johnson Jr. | Family Medicine | 560 W Main St, Suite 100, Lewisville, TX 75057-3629 | 2006-04-10 |
| 1356316996 | Jack Johnson | Anesthesiology | 455 Sherman St, Ste 510, Denver, CO 80203-4400 | 2006-02-17 |
| Street Address |
1190 SUMMERS AVE |
| City | ORANGEBURG |
| State | SC |
| Zip Code | 29115-4922 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003922485 | Daoling Zhang | Ophthalmology | 1190 Summers Ave, Orangeburg, SC 29115-4922 | 2006-08-21 |
| 1235450628 | Michael James Mcmullen | Ophthalmology | 1190 Summers Ave, Orangeburg, SC 29115-4922 | 2010-06-19 |
| 1568630960 | Neal Hampton Higgins | Technician/Technologist | 1190 Summers Ave, Orangeburg, SC 29115-4922 | 2008-02-19 |
| 1538275961 | Mark C Mcgannon | Ophthalmology | 1190 Summers Ave, Orangeburg, SC 29115-4922 | 2006-08-21 |
| 1194831586 | Orangeburg Eye Center | Ophthalmology | 1190 Summers Ave, Orangeburg, SC 29115-4922 | 2006-08-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306326640 | Orange Cut Rate Drug Store, Inc | General Practice | 1326 Grove Park Dr, Orangeburg, SC 29115 | 2018-08-16 |
| 1821528639 | Shonta Tenisha Westbury | Speech-Language Pathologist | 1890 Dellwood Drive, Orangeburg, SC 29115 | 2017-06-14 |
| 1356870794 | All Your Needs Home Care Services, LLC | Respite Care | 133 Boulevard Street, Orangeburg, SC 29115 | 2017-06-08 |
| 1376090860 | Hanna Bozard | Pharmacist | 332 Stone Wall Jackson Blvd, Orangeburg, SC 29115 | 2016-09-01 |
| 1417309956 | Marian Mitchell Oliver Corp. | Dentist | 939 Jc Calhoun Drive, Orangeburg, SC 29115 | 2016-07-08 |
| 1750766119 | Holly Able | Pharmacist | 332 Stonewall Jackson Blvd., Orangeburg, SC 29115 | 2015-07-28 |
| 1104211234 | Sheryl Durant Singleton | Nurse Practitioner | 1857 Joe S Jeffords Hwy, Orangeburg, SC 29115 | 2015-04-06 |
| 1982012696 | Jeremy Morry Eith | Specialist/Technologist | 300 College Street, Orangeburg, SC 29115 | 2014-07-25 |
| 1629495841 | Kathy Beeks | Registered Nurse | 1550 Carolina Avenue, Carolina Avenue, Orangeburg, SC 29115 | 2014-03-26 |
| 1538509534 | Thomas Charles Haynes Jr. | Audiologist | 1655 Carolina Ave., Orangeburg, SC 29115 | 2013-07-05 |
| Find all providers in zip 29115 | ||||
| Taxonomy Code | 207W00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Ophthalmology |
| An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Ophthalmology, 2007. http://www.abop.org/. American Osteopathic Board of Ophthalmology and Otolaryngology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Ophthalmology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Ophthalmology and Otolaryngology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114478526 | New York Eye Institute Optical | Ophthalmology | 99 Dutch Hill Plaza, Orangeburg, NY 10962-2185 | 2016-10-20 |
| 1003922485 | Daoling Zhang | Ophthalmology | 1190 Summers Ave, Orangeburg, SC 29115-4922 | 2006-08-21 |
| 1235450628 | Michael James Mcmullen | Ophthalmology | 1190 Summers Ave, Orangeburg, SC 29115-4922 | 2010-06-19 |
| 1326267568 | Ayman Z. Matta, M.d., P.C. | Ophthalmology | 99 Dutch Hill Rd, Orangeburg, NY 10962-2185 | 2007-04-25 |
| 1538275961 | Mark C Mcgannon | Ophthalmology | 1190 Summers Ave, Orangeburg, SC 29115-4922 | 2006-08-21 |
| 1194831586 | Orangeburg Eye Center | Ophthalmology | 1190 Summers Ave, Orangeburg, SC 29115-4922 | 2006-08-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902453525 | Southern Eye Associates of Sc, Pa | Ophthalmology | 1330 Boiling Springs Rd Ste 2400, Spartanburg, SC 29303-4213 | 2019-08-19 |
| 1568915619 | Susannah Liberty Brown | Ophthalmology | 167 Ashley Ave Rm 503, Charleston, SC 29425-3098 | 2016-07-25 |
| 1982008439 | Garry Binegar Sr. | Ophthalmology | 38 Spring Island Dr, Callawassie Island, Okatie, SC 29909-4006 | 2014-10-13 |
| 1003216540 | Robert Osborne Brown Jr. | Ophthalmology | 400 Ridgecrest Dr, Clemson, SC 29631-1896 | 2014-09-03 |
| 1417200148 | Georgia Eye Institute of The Southeast, LLC | Ophthalmology | 80 Baylor Way, Bluffton, SC 29910-8902 | 2012-10-18 |
| 1306116256 | Atlantic Eye Associates | Ophthalmology | 8028 Myrtle Trace Dr, Conway, SC 29526-8945 | 2012-01-10 |
| 1316246499 | Rock Hill Eye Clinic | Ophthalmology | 1698 W. Hwy 160, Suite 110, Fort Mill, SC 29715-7069 | 2011-03-15 |
| 1508162728 | Charles Pinckney Hunter IIi | Ophthalmology | 1501 North Main St, Anderson, SC 29626 | 2011-02-04 |
| 1982910337 | Joseph Anthony Manno IIi | Ophthalmology | 101 Oak Park Dr, Irmo, SC 29063-6105 | 2010-08-24 |
| 1790097681 | Anand Prem Rajani | Ophthalmology | 1773 Ebenezer Rd, Rock Hill, SC 29732-1101 | 2010-07-08 |
| Find all providers with the same taxonomy | ||||
| City | ORANGEBURG |
| Zip Code | 29115 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.