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DR. SAMANTHA MICHELLE JOHNSON O.D.
NPI 1144774928
Optometrist in Los Angeles, CA

Active since August 09, 2016PECOS EnrolledAccepts Medicare Assignment
4545 E 3RD ST, LOS ANGELES, CA 90022(323) 261-3098 Get Directions Write a Review

NPPES record last updated: August 24, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Aug 24, 2022, Aug 9, 2016 (2 updates tracked since 2016).

About Dr. Samantha Michelle Johnson O.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. SAMANTHA MICHELLE JOHNSON O.D. (NPI 1144774928) is an individual optometrist in Los Angeles, California, licensed in California (33472) and active in the NPI registry since August 2016. She is enrolled in Medicare PECOS, maintains a secondary practice location in Huntington Park, and is a graduate of Southern California College Of Optometry (2016).

NPPES Registry Identity

NPI1144774928
Entity TypeIndividualFemale
Primary Taxonomy152W00000X
Provider Legal NameDR. SAMANTHA MICHELLE JOHNSONCredential: O.D.
Location Address4545 E 3RD STLos Angeles, CA 90022-1656
Mailing Address8640 Gulana Ave Unit J2016Playa Del Rey, CA 90293-7321 · (619) 820-2756
Phone(323) 261-3098
Sole ProprietorNo
Medical School CMSSouthern California College Of OptometryGraduated 2016
Enumeration DateAugust 9, 2016
Last NPPES UpdateAugust 24, 20222 updates tracked since enumeration
NPPES CertifiedAugust 24, 2022
✔ NPI 1144774928 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOptometristEye and Vision Services Providers
Taxonomy Code152W00000X
License✔ Licensed in CA · 33472
Definition
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.
4545 E 3RD ST, Los Angeles, CA 90022
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Secondary Practice Location 1

Location 16134 Pacific BlvdHuntington Park, CA 90255-2923 · Phone (323) 589-3381 · Fax (323) 583-6439

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Louisiana, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Samantha Michelle Johnson O.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID7618263047
PECOS Enrollment IDI20160909002002
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

New patient complete exam of visual system 92004
A new patient complete exam of the visual system is a thorough evaluation of your eyes and vision. It checks for any potential issues and assesses overall eye health. It includes tests for visual acuity, eye movement, and light response.
19 services19 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 90022 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$142.39 typical visit price
range $62.96 – $187.60
Typical copayment $35.59 (range $15.74 – $46.90)
Most-billed visit code 99204
Established Patient
$77.96 typical visit price
range $20.84 – $153.61
Typical copayment $19.49 (range $5.21 – $38.40)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

SATISH S. KADABA, M.D., INC.
Acupuncturist
4545 E 3RD ST, SUITE 102
LOS ANGELES, CA 90022
Los Angeles County (323) 264-6296
MONTES MEDICAL GROUP INC
Family Medicine
4545 E 3RD ST, #102
LOS ANGELES, CA 90022
Los Angeles County (323) 266-7888
DR. EDDY Z NAIME O.D.
Optometrist
4545 E 3RD ST, SUITE 105
LOS ANGELES, CA 90022
Los Angeles County (323) 261-3098

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Samantha Johnson's NPI number?

The NPI number for Samantha Johnson is 1144774928. It was assigned to this individual provider in the NPPES registry on August 9, 2016.

Where is Samantha Johnson located?

Samantha Johnson practices at 4545 E 3rd St, Los Angeles, CA 90022. The listed phone number is (323) 261-3098.

What is Samantha Johnson's specialty?

The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.

Is Samantha Johnson enrolled in Medicare?

Yes. Samantha Johnson is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Samantha Johnson accept?

Health plans from Blue Cross Blue Shield of Wyoming, Blue Cross and Blue Shield of Louisiana, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas and 1 other insurer list Samantha Johnson as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Samantha Johnson was last updated on August 24, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.