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

Dr. Owen Cannon Johnson, OD

Individual provider Optometrist · NPI 1346292059

Dr. Owen Cannon Johnson, OD is an Optometry in Georgetown, South Carolina. Qualified in 2003, 23 years ago. Practices with Indigo Vision Center PA, a 3-clinician group. Licensed in South Carolina.

Years since qualifying
23
Licensed in
SC
In the registry since
2006
What do these letters mean?
OD — Doctor of Optometry
An optometrist: examines eyes, prescribes glasses and contacts, and treats many eye conditions.

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Practice location Address checks out

302 Church St A
Georgetown, SC 29440-2406
Phone: (843) 546-2244
Fax: (843) 546-2255
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Optometrist (primary) Taxonomy 152W00000X · Licence 1279 (SC)

Record details

NPI number1346292059
Entity typeIndividual (Type 1)
GenderMale
Credentials OD
Sole proprietorNo
NPI enumeratedMay 17, 2006
Last updated in NPPESMay 9, 2023
Certification dateMay 9, 2023

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyOPTOMETRY
Medical schoolOTHER
Graduated 2003 (23 years in practice)
Group practice Indigo Vision Center Pa — 3 clinicians
Accepts Medicare assignment Not indicated

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