Dr Ellyn Victoria Johnson, OD - Medicare Optometrist in Advance, NC

Dr Ellyn Victoria Johnson, OD is a medicare enrolled "Optometrist" provider in Advance, North Carolina. She went to Southern College Of Optometry and graduated in 2000 and has 24 years of diverse experience with area of expertise as Optometry. She is a member of the group practice Carolina Center For Eye Care Od Pa and her current practice location is 5380 Us Highway 158, Suite 100, Advance, North Carolina. You can reach out to her office (for appointments etc.) via phone at (336) 940-2015.

Dr Ellyn Victoria Johnson is licensed to practice in North Carolina (license number 1813) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1386694917.

Contact Information

Dr Ellyn Victoria Johnson, OD
5380 Us Highway 158, Suite 100,
Advance, NC 27006-6907
(336) 940-2015
(336) 940-2069



Healthcare Provider's Profile

Full NameDr Ellyn Victoria Johnson
GenderFemale
SpecialityOptometry
Experience24 Years
Location5380 Us Highway 158, Advance, North Carolina
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Dr Ellyn Victoria Johnson attended and graduated from Southern College Of Optometry in 2000
  NPI Data:
  • NPI Number: 1386694917
  • Provider Enumeration Date: 05/12/2006
  • Last Update Date: 09/29/2010
  Medicare PECOS Information:
  • PECOS PAC ID: 3577459718
  • Enrollment ID: I20040225000471

Medical Identifiers

Medical identifiers for Dr Ellyn Victoria Johnson such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1386694917NPI-NPPES
89093J4MedicaidNC

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
152W00000XOptometrist 1813 (North Carolina)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Carolina Center For Eye Care Od Pa76188638466

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Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Dr Ellyn Victoria Johnson allows following entities to bill medicare on her behalf.
Provider NameCarolina Center For Eye Care Od Pa
Provider TypePart B Supplier - Clinic/group Practice
Provider IdentifiersNPI Number: 1528141009
PECOS PAC ID: 7618863846
Enrollment ID: O20040225000419

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Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Ellyn Victoria Johnson is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Dr Ellyn Victoria Johnson, OD
5380 Us Highway 158, Suite 100,
Advance, NC 27006-6907

Ph: (336) 940-2015
Dr Ellyn Victoria Johnson, OD
5380 Us Highway 158, Suite 100,
Advance, NC 27006-6907

Ph: (336) 940-2015

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Optometrist in Advance, NC

Dr. Jeffrey Reile Bryson Tarr, O.D.
Optometrist
Medicare: Accepting Medicare Assignments
Practice Location: 5380 Us Highway 158, Suite 100, Advance, NC 27006
Phone: 336-940-2015    Fax: 336-940-2069
Carolina Center For Eye Care, Od Pa
Optometrist
Medicare: Medicare Enrolled
Practice Location: 5380 Us Highway 158, Suite 100, Advance, NC 27006
Phone: 336-940-2015    Fax: 336-940-2069
Dr. Christopher Charles Owens, OD
Optometrist
Medicare: Accepting Medicare Assignments
Practice Location: 5380 Us Highway 158, Suite 100, Advance, NC 27006
Phone: 336-940-2015    Fax: 336-940-2069
Lindsay Elizabeth Thornton, OD
Optometrist
Medicare: Medicare Enrolled
Practice Location: 5380 Us Highway 158, Advance, NC 27006
Phone: 336-940-2015    Fax: 336-940-2069

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