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DR. JOHNNY YORK O.D.
NPI 1184836306
Optometrist in Winston Salem, NC

Active since May 03, 2007PECOS Enrolled
930 HANES MALL BLVD, WINSTON SALEM, NC 27103(336) 760-1291(336) 760-1295 Get Directions Write a Review

NPPES record last updated: September 11, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Sep 11, 2025, Mar 7, 2023 (2 updates tracked since 2023).

About Dr. Johnny York O.d. NPPES

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

DR. JOHNNY YORK O.D. (NPI 1184836306) is an individual optometrist in Winston Salem, North Carolina, licensed in North Carolina (1096) and active in the NPI registry since May 2007. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1184836306
Entity TypeIndividualMale
Primary Taxonomy152W00000X
Provider Legal NameDR. JOHNNY YORKCredential: O.D.
Location Address930 HANES MALL BLVDWinston Salem, NC 27103
Mailing AddressPo Box 15601Winston Salem, NC 27113 · (336) 760-1291 · Fax (336) 760-1295
Phone(336) 760-1291
Fax(336) 760-1295
Sole ProprietorYes
Enumeration DateMay 3, 2007
Last NPPES UpdateSeptember 11, 20252 updates tracked since enumeration
✔ NPI 1184836306 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyOptometristEye and Vision Services Providers
Taxonomy Code152W00000X
License✔ Licensed in NC · 1096
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.
Also ListedOptometrist · Corneal and Contact ManagementTaxonomy 152WC0802X · License 1096 (NC)
930 HANES MALL BLVD, Winston Salem, NC 27103
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Other Identifiers 2

Other1096NC · State License Number
Other0998GNC · Bcbs Provider Number

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Louisiana, Blue Cross Blue Shield of Wyoming, Oscar Health Plan of North Carolina, Inc.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Johnny York O.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 27103 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
$125.01 typical visit price
range $54.12 – $165.09
Typical copayment $31.25 (range $13.53 – $41.27)
Most-billed visit code 99204
Established Patient
$67.72 typical visit price
range $17.21 – $134.61
Typical copayment $16.93 (range $4.30 – $33.65)
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 4

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

JENNIFER THOMAS RPH
Pharmacist
930 HANES MALL BLVD
WINSTON SALEM, NC 27103
Forsyth County (336) 765-0669
SAM'S CLUB OPTICAL
Eyewear Supplier
930 HANES MALL BLVD
WINSTON SALEM, NC 27103
Forsyth County (336) 765-3590
SAMS EAST INC
Pharmacy (Community/Retail Pharmacy)
930 HANES MALL BLVD
WINSTON SALEM, NC 27103
Forsyth County (336) 765-0669
MRS. LEE LOFTIS PHARM.D.
Pharmacist
930 HANES MALL BLVD
WINSTON SALEM, NC 27103
Forsyth County (336) 765-0669

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 Johnny York's NPI number?

The NPI number for Johnny York is 1184836306. It was assigned to this individual provider in the NPPES registry on May 3, 2007.

Where is Johnny York located?

Johnny York practices at 930 Hanes Mall Blvd, Winston Salem, NC 27103. The listed phone number is (336) 760-1291.

What is Johnny York's specialty?

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

Is Johnny York enrolled in Medicare?

Yes. Johnny York is registered in the Medicare PECOS enrollment system.

What insurance does Johnny York accept?

Health plans from Blue Cross Blue Shield of Wyoming, Blue Cross and Blue Shield of Louisiana and Oscar Health Plan of North Carolina, Inc list Johnny York 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 Johnny York was last updated on September 11, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.