GORDON STANLEY JOHNSON (NPI# 1295841369) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1295841369 |
| Entity Type | Individual |
| Full Name | GORDON STANLEY JOHNSON |
| Credential | O.D. |
| Practice Address |
2827 Woodruff Rd Simpsonville SC 29681-4807 |
| Practice Telephone | 8645202480 |
| Mailing Telephone | 8648773031 |
| Enumeration Date | 2006-08-22 |
| Last Update Date | 2019-08-26 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 152W00000X | Optometrist | 815 | SC | Eye and Vision Services Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| SC | DOO815 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205893781 | Gordon Ray Johnson | Otolaryngology | 3906 Lillie Ave., Suite 1, Davenport, IA 52806-4432 | 2006-04-27 |
| 1528406444 | Gordon Mack Johnson | Nurse Anesthetist, Certified Registered | 1600 Sw Archer Rd, Gainesville, FL 32610-3003 | 2013-06-13 |
| 1730444084 | Gordon Johnson | Counselor | 119 W Depot St, Mocksville, NC 27028-2327 | 2012-07-11 |
| 1053588004 | Gordon Dean Johnson | Technician | 27885 170th Ave Sw, Crookston, MN 56716-9444 | 2008-05-09 |
| 1235201351 | Gordon Christopher Johnson | Chiropractor | 1535 W Northfield Blvd, Suite 6, Murfreesboro, TN 37129-1427 | 2006-11-14 |
| 1235103276 | Gordon Johnson | Hospitalist | 24988 Se Stark St, Gresham, OR 97030-8324 | 2006-02-15 |
| 1316911670 | Gordon Leslie Johnson | Pathology | 10101 W Forest Hill Blvd, Wellington Regional Medical Center Pathology Dept, Wellington, FL 33414 | 2006-02-14 |
| 1932105061 | Gordon L Johnson | Internal Medicine | 1836 South Ave, La Crosse, WI 54601-5429 | 2005-06-23 |
| Street Address |
2827 WOODRUFF RD |
| City | SIMPSONVILLE |
| State | SC |
| Zip Code | 29681-4807 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609343227 | Five Forks Vision, LLC | Optometrist | 2827 Woodruff Rd, Simpsonville, SC 29681-4807 | 2018-11-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851858013 | The Tot Spot of South Carolina | Dentist | 1334 S. Hwy 14, Simpsonville, SC 29681 | 2019-02-25 |
| 1194206540 | Lynnette Kathleen Beyerle | Nurse Practitioner | 227 N Main Street, Simpsonville, SC 29681 | 2018-08-23 |
| 1477030070 | Mena M Melek | Pharmacist | 115 Sc-14, Simpsonville, SC 29681 | 2018-07-26 |
| 1437673423 | Abby Elizabeth Meagher | Nurse Practitioner | 1338 South Carolina Highway 14, Simpsonville, SC 29681 | 2017-08-01 |
| 1326586447 | Brooke Huffman | Speech-Language Pathologist | 5 Moorgate Dr, Simpsonville, SC 29681 | 2017-02-09 |
| 1053869818 | A Ray of Sunshine | Home Health | 216 Chickamauga Ln, Simpsonville, SC 29681 | 2016-09-21 |
| 1679924195 | Guardian Angels of The Upstate | Licensed Practical Nurse | 117 Fairview Pointe Dr, Simpsonville, SC 29681 | 2016-06-27 |
| 1033560552 | Jimetta Littlejohn | Licensed Practical Nurse | 117 Fairview Pointe Drive, Simpsonville, SC 29681 | 2016-06-27 |
| 1932597473 | Peace and Comfort Care LLC, Home Health | Home Health | 3106 Bethel Rd Unit 55, Simpsonvill, SC 29681 | 2015-01-07 |
| 1093136830 | Kidbuilders LLC | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 203 N. Maple St, Suite 8, Simpsonville, SC 29681 | 2013-12-20 |
| Find all providers in zip 29681 | ||||
| Taxonomy Code | 152W00000X |
| Grouping | Eye and Vision Services Providers |
| Classification | Optometrist |
| Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system. |
| Notes: Source: American Optometric Association (AOA), approved by the AOA’s Board of Trustees, June 21, 2005. [7/1/2006: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043797947 | Michael Morshed Maseha | Optometrist | 208 Blackhawk Dr, Simpsonville, SC 29680-2406 | 2018-07-24 |
| 1134616592 | Southern Eye Associates of South Carolina, Pa | Optometrist | 100 Allawood Ct, Simpsonville, SC 29681-6207 | 2018-04-20 |
| 1437375482 | Milici Family Vision Ctr | Optometrist | 877 North East Main St, Suite A, Simpsonville, SC 29681-2041 | 2007-04-18 |
| 1932267051 | Sean Micheal Stevens | Optometrist | 309 Se Main St, Simpsonville, SC 29681-2653 | 2006-12-04 |
| 1619046687 | Sherri Christine Rast | Optometrist | 419 Se Main St Ste 300, Simpsonville, SC 29681-2676 | 2006-11-06 |
| 1134136849 | Sara H Milici-bopp | Optometrist | 877 N. E. Main Street, Suite A, Simpsonville, SC 29681-2041 | 2006-08-02 |
| 1063981900 | Clark Optometric Center of Sc, P.a. | Optometrist | 419 Se Main St Ste 300, Simpsonville, SC 29681-2676 | 2018-11-21 |
| 1609343227 | Five Forks Vision, LLC | Optometrist | 2827 Woodruff Rd, Simpsonville, SC 29681-4807 | 2018-11-01 |
| 1912498106 | Tiffany Brawner | Optometrist | 309 Se Main St, Simpsonville, SC 29681-2653 | 2018-05-23 |
| 1750752150 | Poole Family Eye Care of Simpsonville | Optometrist | 419 Se Main St, Ste 301, Simpsonville, SC 29681-2673 | 2015-10-12 |
| Find all providers in SIMPSONVILLE | ||||
| City | SIMPSONVILLE |
| Zip Code | 29681 |
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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.