JACK F JOHNSON JR. MD
NPI 1902912322
Ophthalmology in Orangeburg, SC

Q: What is Jack Johnson's NPI number?

The NPI number for Jack Johnson is 1902912322. It was assigned to this individual provider in the NPPES registry on August 21, 2006.

Q: What is Jack Johnson's specialty?

The primary specialty registered for this NPI is Ophthalmology with taxonomy code 207W00000X.

Q: When was this NPI record last updated?

The NPPES record for Jack Johnson was last updated on October 9, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.

Active since August 21, 2006PECOS Enrolled

1190 SUMMERS AVE, ORANGEBURG, SC 29115(803) 534-0266 Get Directions Write a Review

NPPES record last updated: October 9, 2007. Verified against the NPPES registry weekly; last sync: November 01, 2026.

On this page

About Jack F Johnson Jr. Md NPPES

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

JACK F JOHNSON JR. MD (NPI 1902912322) is an individual ophthalmology provider in Orangeburg, South Carolina, licensed in South Carolina (6111) and active in the NPI registry since August 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1902912322

Entity TypeIndividualMale

Primary Taxonomy207W00000X

Provider Legal NameJACK F JOHNSON JR.Credential: MD

Location Address1190 SUMMERS AVEOrangeburg, SC 29115-4922

Mailing AddressPo Box 1226Orangeburg, SC 29116-1226 · (803) 534-0266

Phone(803) 534-0266

Sole ProprietorNo

Enumeration DateAugust 21, 2006

Last NPPES UpdateOctober 9, 2007

✔ NPI 1902912322 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOphthalmologyAllopathic & Osteopathic Physicians

Taxonomy Code207W00000X

License✔ Licensed in SC · 6111

Definition

An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses.

1190 SUMMERS AVE, Orangeburg, SC 29115

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Other Identifiers 2

Medicare UPINC60536SC

Medicaid061113SC

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jack F Johnson Jr. Md 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.

Medicare Billing Reassignment

Medicare enrollment records show Jack Johnson reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Orangeburg Eye Center

Same address

Ophthalmology

1190 SUMMERS AVE
Orangeburg, SC 29115

Reassigned Medicare billing, South Carolina enrollment
6 clinicians in this Medicare group

NPI 1194831586 (803) 534-0266

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 29115 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

$124.04 typical visit price

range $53.57 – $163.84

Typical copayment $31.01 (range $13.39 – $40.96)

Most-billed visit code 99204

Established Patient

$67.12 typical visit price

range $16.96 – $133.52

Typical copayment $16.78 (range $4.24 – $33.38)

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 6

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

DAOLING ZHANG MD

Ophthalmology