Samuel D Johnson Od Pllc
Samuel D Johnson Od Pllc is a healthcare organization registered as Optometrist in Fairmont, NC, holding Type 2 (organization) NPI 1417446097 since 2018. The authorized official on file is Sameul Johnson, Owner.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1417446097 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | Samuel D Johnson Od Pllc |
| Practice address | 204 IONA ST, Fairmont, NC, 28340 |
| Phone | 9106288316 |
| Fax | 9106285642 |
| Enumeration date | 2018-05-09 |
| Last updated in NPPES | 2018-05-09 |
Authorized official
| Name | Sameul Johnson |
|---|---|
| Title | Owner |
| Phone | 9106288316 |
Taxonomy & classification
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 152W00000X | Optometrist | Primary | 2337 | NC |
Copy-ready billing details
Provider: Samuel D Johnson Od Pllc NPI: 1417446097 Taxonomy: 152W00000X (Optometrist) Address: 204 IONA ST, Fairmont, NC, 28340
Providers at this address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1225039340 | Lionel Chamberlain | Individual | Optometrist | Fairmont, NC |
| 1053312181 | Hal Herring | Individual | Optometrist | Fairmont, NC |
| 1942201074 | Robert Cureton | Individual | Optometrist | Fairmont, NC |
| 1477818631 | Hal C Herring Jr Od PA | Organization | Optometrist | Fairmont, NC |
| 1962838565 | Samuel Johnson | Individual | Optometrist | Fairmont, NC |
| 1871468413 | Fairmont Eye Clinic Od Pllc | Organization | Optometrist | Fairmont, NC |
Verify this record
Cross-check NPI 1417446097 against the authoritative CMS record: view Samuel D Johnson Od Pllc on the official NPPES registry .
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty. Read the full guide or validate an NPI number.
Frequently asked questions
What type of organization is Samuel D Johnson Od Pllc?
What is a Type 2 NPI?
Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2018-05-09.