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

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: August 16, 2026.

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
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

Other Identifiers 2

Medicare UPINC60536SC
Medicaid061113SC

Medicare Participation & PECOS CMS

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

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.

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.

Ophthalmology
1190 SUMMERS AVE
ORANGEBURG, SC 29115
Ophthalmology
1190 SUMMERS AVE
ORANGEBURG, SC 29115
Ophthalmology
1190 SUMMERS AVE
ORANGEBURG, SC 29115
Ophthalmology
1190 SUMMERS AVE
ORANGEBURG, SC 29115
Ophthalmology
1190 SUMMERS AVE
ORANGEBURG, SC 29115
Technician/Technologist (Optician)
1190 SUMMERS AVE
ORANGEBURG, SC 29115

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 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.

Where is Jack Johnson located?

Jack Johnson practices at 1190 Summers Ave, Orangeburg, SC 29115. The listed phone number is (803) 534-0266.

What is Jack Johnson's specialty?

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

Is Jack Johnson enrolled in Medicare?

Yes. Jack Johnson is registered in the Medicare PECOS enrollment system.

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 18 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.