Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Samuel D Johnson OD PLLC

Organization Optometrist · NPI 1417446097

Samuel D Johnson OD PLLC is an Optometrist in Fairmont, North Carolina. Licensed in North Carolina. Registered with an NPI since 2018.

Licensed in
NC
In the registry since
2018
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

204 Iona St
Fairmont, NC 28340-1616
Phone: (910) 628-8316
Fax: (910) 628-5642
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Optometrist (primary) Taxonomy 152W00000X · Licence 2337 (NC)

Record details

NPI number1417446097
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Sameul Johnson — Owner · (910) 628-8316
NPI enumeratedMay 9, 2018
Last updated in NPPESMay 9, 2018
Mailing addressPo Box 648, Fairmont, NC 28340-0648

Other providers in Fairmont