Indigo Vision Center PA
NPI 1700071149ActiveOrganization· Optometrist· Georgetown, SC
Optometrist in Georgetown, South Carolina, registered in NPPES in September 2007. The authorized official on file is Owen C. Johnson, O.D., Owner. Enrolled in Medicare as dme supplier - physician - optometrist and part b supplier - clinic/group practice.
Overview
| NPI | 1700071149 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Sep 10, 2007 |
| Last updated in NPPES | Jul 9, 2013 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Optometrist Primary | 152W00000X | 1279 | SC |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled DME Supplier - Physician - Optometrist (SC); Part B Supplier - Clinic/Group Practice (SC) |
|---|
Other Optometrist providers in Georgetown
- 1063629954
- 1669652491
- 1932247368
- 1124992458
- 1225084676
- 1053356154
- 1487452462
- 1346292059
- 1205850781
- 1104497981
- 1700361805