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JOHANSEN PRECISION EYE CARE LLC
NPI 1184009540
Optometrist in Greenwood, SC

Active since July 28, 2015
214 WALLER AVE, GREENWOOD, SC 29646(864) 543-3939(864) 538-6284 Get Directions Write a Review

NPPES record last updated: August 30, 2023. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Aug 30, 2023, Mar 4, 2019 (2 updates tracked since 2019).

About Johansen Precision Eye Care Llc NPPES

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

JOHANSEN PRECISION EYE CARE LLC (NPI 1184009540) is a healthcare organization registered as an optometrist in Greenwood, South Carolina and active in the NPI registry since July 2015. The organization maintains a secondary practice location in Newberry and lists Samuel Lee Johansen, Owner, as its authorized official.

NPPES Registry Identity

NPI1184009540
Entity TypeOrganization
Primary Taxonomy152W00000X
Legal Business NameJOHANSEN PRECISION EYE CARE LLC
Location Address214 WALLER AVEGreenwood, SC 29646-2747
Mailing AddressPo Box 238Ninety Six, SC 29666-0238 · (864) 223-6062 · Fax (864) 538-6284
Phone(864) 543-3939
Fax(864) 538-6284
Organization SubpartNo
Authorized OfficialSamuel Lee JohansenOwner · (864) 992-6386
Enumeration DateJuly 28, 2015
Last NPPES UpdateAugust 30, 20232 updates tracked since enumeration
NPPES CertifiedAugust 30, 2023
✔ NPI 1184009540 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 SC · 1872
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.
214 WALLER AVE, Greenwood, SC 29646
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Secondary Practice Location 1

Location 12433 Wilson RdNewberry, SC 29108-1644 · Phone (803) 276-6959

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Absolute Total Care, Ambetter Health, Ambetter of North Carolina and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Johansen Precision Eye Care Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

2

Medicare enrollment records show 2 clinicians reassign Medicare billing to Johansen Precision Eye Care LLC, which bills Medicare for the services they deliver. Of these, 1 practice at this address. They are listed nearest first.

Clinicians, nearest first (2)

Samuel Johansen, OD
Optometry
NPI 1497136139
214 WALLER AVE
Greenwood, SC 29646
(864) 992-6386
✔ PECOS✔ Accepts MedicareSame address
Norris Philbeck, OD
Optometry
NPI 1275608499
9270 N HIGHWAY 17
Mc Clellanville, SC 29458
(843) 722-4416
✔ PECOS✔ Accepts Medicare171 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Johansen Precision Eye Care LLC's NPI number?

The NPI number for Johansen Precision Eye Care LLC is 1184009540. It was assigned to this organization in the NPPES registry on July 28, 2015.

Where is Johansen Precision Eye Care LLC located?

Johansen Precision Eye Care LLC is located at 214 Waller Ave, Greenwood, SC 29646. The listed phone number is (864) 543-3939.

What is Johansen Precision Eye Care LLC's specialty?

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

Is Johansen Precision Eye Care LLC enrolled in Medicare?

Yes. Johansen Precision Eye Care LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Johansen Precision Eye Care LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians, all in Optometry, reassign their Medicare billing to Johansen Precision Eye Care LLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Of these, 1 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Johansen Precision Eye Care LLC accept?

Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of North Carolina, Anthem Blue Cross and Blue Shield and Blue Cross and Blue Shield of Montana and 2 other insurers list Johansen Precision Eye Care LLC 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 Johansen Precision Eye Care LLC was last updated on August 30, 2023. 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.