Individual
GORDON STANLEY JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
2827 WOODRUFF RD, SIMPSONVILLE, SC 29681-4807
(864) 520-2480
Mailing address
2827 WOODRUFF RD, SIMPSONVILLE, SC 29681-4807
(864) 877-3031
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
815
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
DOO815
—
SC
Enumeration date
08/22/2006
Last updated
08/26/2019
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us