Samuel D Johnson OD PLLC
NPI 1417446097 · Optometrist · Fairmont, NC
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Samuel D Johnson OD PLLC is a Optometrist organization in Fairmont, NC (NPI 1417446097).
Provider details
- NPI number
- 1417446097
- Entity type
- Organization
- Primary specialty
- OptometristEye and Vision Services Providers
- Organization subpart
- No
- Authorized official
- Sameul Johnson, Owner(910) 628-8316
- License
- 2337 (NC)
Specialties & taxonomies
Eye and Vision Services Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
8 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2018-05-09
- Last updated
- 2018-05-09
Frequently asked questions
- What is Samuel D Johnson OD PLLC's NPI number?
- Samuel D Johnson OD PLLC's National Provider Identifier (NPI) is 1417446097, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Samuel D Johnson OD PLLC?
- Samuel D Johnson OD PLLC is classified in the NPPES registry as Optometrist (Eye and Vision Services Providers).
- Where is Samuel D Johnson OD PLLC located?
- Samuel D Johnson OD PLLC's practice location on file with NPPES is 204 Iona St, Fairmont, NC 28340-1616.
- What is Samuel D Johnson OD PLLC's phone number?
- The practice phone number listed in the NPPES registry for Samuel D Johnson OD PLLC is (910) 628-8316.
- Does Samuel D Johnson OD PLLC accept Medicare?
- Samuel D Johnson OD PLLC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Samuel D Johnson OD PLLC?
- The authorized official listed on Samuel D Johnson OD PLLC's NPPES record is Sameul Johnson, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Samuel D Johnson OD PLLC's NPI active?
- Yes — Samuel D Johnson OD PLLC's NPI (1417446097) is active in the NPPES registry as of the last update on 2018-05-09.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.