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DR. ELLYN VICTORIA JOHNSON OD
NPI 1386694917
Optometrist in Advance, NC

Active since May 12, 2006PECOS EnrolledAccepts Medicare Assignment
5380 US HIGHWAY 158, SUITE 100, ADVANCE, NC 27006(336) 940-2015(336) 940-2069 Get Directions Write a Review

NPPES record last updated: September 29, 2010. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Ellyn Victoria Johnson Od NPPES

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

DR. ELLYN VICTORIA JOHNSON OD (NPI 1386694917) is an individual optometrist in Advance, North Carolina, licensed in North Carolina (1813) and active in the NPI registry since May 2006. She is enrolled in Medicare PECOS and is a graduate of Southern College Of Optometry (2000).

NPPES Registry Identity

NPI1386694917
Entity TypeIndividualFemale
Primary Taxonomy152W00000X
Provider Legal NameDR. ELLYN VICTORIA JOHNSONCredential: OD
Location Address5380 US HIGHWAY 158, SUITE 100Advance, NC 27006-6907
Mailing Address5380 Us Highway 158, Suite 100Advance, NC 27006-6907 · (336) 940-2015 · Fax (336) 940-2069
Phone(336) 940-2015
Fax(336) 940-2069
Sole ProprietorNo
Medical School CMSSouthern College Of OptometryGraduated 2000
Enumeration DateMay 12, 2006
Last NPPES UpdateSeptember 29, 2010
✔ NPI 1386694917 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 NC · 1813
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.
5380 US HIGHWAY 158, Advance, NC 27006
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Other Identifiers 3

Medicare UPINU89527NC
Medicare ID-Type Unspecified2471930CNC
Medicaid89093J4NC

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of NC, Providence Health Plan.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. Ellyn Victoria Johnson Od 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 ID3577459718
PECOS Enrollment IDI20040225000471
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 6

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.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
135 services118 patients
Photography of the retina 92250
Photography of the retina, also known as retinal imaging, is a non-invasive procedure that captures images of the back of your eye. This helps doctors identify and monitor conditions like glaucoma, macular degeneration, or diabetic retinopathy. It's painless and quick, often part of a routine eye exam.
128 services122 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
44 services37 patients
Imaging of optic nerve 92133
Imaging of the optic nerve is a non-invasive procedure that captures detailed pictures of your optic nerve. It helps doctors assess eye health, particularly for conditions like glaucoma. It's painless, quick, and uses safe technology like MRI or OCT (Optical Coherence Tomography).
39 services32 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
26 services26 patients
Exam of visual field with extended testing 92083
An extended visual field exam is a detailed test to evaluate your peripheral (side) vision. It helps to detect any potential blind spots which may not be noticeable in daily life. These could be caused by eye diseases like glaucoma, or neurological conditions.
14 services14 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 27006 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 7

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

DR. THOMAS S. BROWDER D.D.S.
Dentist (General Practice)
5380 US HIGHWAY 158, SUITE 200
ADVANCE, NC 27006
Davie County (336) 998-9988
DR. JEFFREY REILE BRYSON TARR O.D.
Optometrist
5380 US HIGHWAY 158, SUITE 100
ADVANCE, NC 27006
Davie County (336) 940-2015
THOMAS S. BROWDER DDS
Dentist
5380 US HIGHWAY 158, SUITE 200
ADVANCE, NC 27006
Davie County (336) 998-9988
CAROLINA CENTER FOR EYE CARE, OD PA
Optometrist
5380 US HIGHWAY 158, SUITE 100
ADVANCE, NC 27006
Davie County (336) 940-2015
DR. CHRISTOPHER CHARLES OWENS OD
Optometrist
5380 US HIGHWAY 158, SUITE 100
ADVANCE, NC 27006
Davie County (336) 940-2015
LINDSAY ELIZABETH THORNTON OD
Optometrist
5380 US HIGHWAY 158
ADVANCE, NC 27006
Davie County (336) 940-2015
BRANDON REHABILITATION, LLC
Physical Therapist
5380 US HIGHWAY 158, SUITE 205
ADVANCE, NC 27006
Davie County (336) 940-6415

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 Ellyn Johnson's NPI number?

The NPI number for Ellyn Johnson is 1386694917. It was assigned to this individual provider in the NPPES registry on May 12, 2006.

Where is Ellyn Johnson located?

Ellyn Johnson practices at 5380 Us Highway 158 Suite 100, Advance, NC 27006. The listed phone number is (336) 940-2015.

What is Ellyn Johnson's specialty?

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

Is Ellyn Johnson enrolled in Medicare?

Yes. Ellyn 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 Ellyn Johnson accept?

Health plans from Blue Cross and Blue Shield of NC and Providence Health Plan list Ellyn 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 Ellyn Johnson was last updated on September 29, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.