Jarvis Dewayne Johnson (NPI# 1447627815, PAC ID# 6507157831) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is OPTOMETRY.
| Nation Provider ID (NPI) | 1447627815 |
| PAC ID by PECOS | 6507157831 |
| Professional Enrollment ID | I20160616002225 |
| Full Name | Jarvis Dewayne Johnson |
| Organization Legal Name | MYEYEDR OPTOMETRY OF GEORGIA, LLC |
| Address |
2485 N Columbia St Milledgeville GA 31061-5421 |
| Phone Number | 4784526569 |
| Gender | M |
| Medical School | SOUTHERN COLLEGE OF OPTOMETRY |
| Graduation Year | 2015 |
| Primary Specialty | OPTOMETRY |
| Group Practice PAC ID | 8224261201 |
| Number of Group Practice Members | 55 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 4875 Altama Ave, Brunswick, GA 31520-2912 | 9125540010 | MYEYEDR OPTOMETRY OF GEORGIA, LLC |
| 2485 N Columbia St, Milledgeville, GA 31061-5421 | 4784526569 | MYEYEDR OPTOMETRY OF GEORGIA, LLC |
| 627 S Houston Lake Rd, Suite 100, Warner Robins, GA 31088-9079 | 4783220009 | MYEYEDR OPTOMETRY OF GEORGIA, LLC |
| 627 S Houston Lake Rd, Warner Robins, GA 31088-9079 | 4783220009 | MYEYEDR OPTOMETRY OF GEORGIA, LLC |
| Organization Legal Name | MYEYEDR OPTOMETRY OF GEORGIA, LLC |
| Physicians | 81 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kwon Jung Choe | Optometry | Myeyedr Optometry of Georgia, LLC | 3975 Old Milton Pkwy, Suite 2, Alpharetta, GA 30005-4467 |
| Danny J Garcia | Optometry | Myeyedr Optometry of Georgia, LLC | 4521 17th Ave, Columbus, GA 31904-6344 |
| Zachary Boeskool | Optometry | Myeyedr Optometry of Georgia, LLC | 2209 Memorial Dr, Waycross, GA 31501-0902 |
| Katie Lynn Boeskool | Optometry | Myeyedr Optometry of Georgia, LLC | 2003 Commerce Dr, Kingsland, GA 31548-6767 |
| Rafael A Gamba | Optometry | Myeyedr Optometry of Georgia, LLC | 5940 Roswell Rd, Atlanta, GA 30328-4908 |
| Peggy S Achenbach | Optometry | Myeyedr Optometry of Georgia, LLC | 2215 Memorial Dr, Suite 25, Waycross, GA 31501-0987 |
| Tsani R Watson | Optometry | Myeyedr Optometry of Georgia, LLC | 3155 Cobb Pkwy Se, Suite 110, Atlanta, GA 30339-5535 |
| Robert Adam Young | Optometry | Myeyedr Optometry of Georgia, LLC | 9801 Hwy 92, Suite 100, Woodstock, GA 30188-6454 |
| Romanda Basaly Basaly Demetrios | Optometry | Myeyedr Optometry of Georgia, LLC | 12924 Hwy 92, Suite 100, Woodstock, GA 30188-5193 |
| Lindsey C. Eisenberg | Optometry | Myeyedr Optometry of Georgia, LLC | 2549 Piedmont Rd Ne, Atlanta, GA 30324-3023 |
| Street Address |
2485 N COLUMBIA ST |
| City | MILLEDGEVILLE |
| State | GA |
| Zip | 31061-5421 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Bernard Mark Tortorice | Anesthesiology | Clinical Colleagues Inc | 821 N Cobb St, Millegeville, GA 31061-0000 |
| Daniel Eldridge Mcalvin | Certified Registered Nurse Anesthetist (crna) | Clinical Colleagues Inc | 821 N Cobb St, Millegeville, GA 31061-0000 |
| Natasha A Parker | Certified Registered Nurse Anesthetist (crna) | Clinical Colleagues Inc | 821 N Cobb St, Millegeville, GA 31061-0000 |
| Harinder Singh Brar | General Surgery | 315 N Cobb St, Milledgeville, GA 31061-0315 | |
| Sarah M Cook | Chiropractic | 130 Log Cabin Rd, Suite B, Milledgeville, GA 31061-0918 | |
| Heather Herring | Nurse Practitioner | Fasttrack Immediate Care of Milledgeville,llc | 1909 N Columbia St, Milledgeville, GA 31061-2170 |
| Adegboyega O Orelaja | Physician Assistant | Fasttrack Immediate Care of Milledgeville,llc | 1909 N Columbia St, Milledgeville, GA 31061-2170 |
| Gururaj Nayak | Internal Medicine | Fasttrack Immediate Care of Milledgeville,llc | 1909 N Columbia St, Milledgeville, GA 31061-2170 |
| Alan J Liebe | Chiropractic | 1776 N Jefferson St, Milledgeville, GA 31061-2215 | |
| Thuy Diem Giang | Podiatry | 1820 N Columbia St, Milledgeville, GA 31061-2300 | |
| Find all physicians in zip 31061 | |||
| City | MILLEDGEVILLE |
| Zip Code | 31061 |
| Specialty | OPTOMETRY |
| City + Specialty | MILLEDGEVILLE + OPTOMETRY |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.