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

Individual provider Optometrist · NPI 1497136139

Dr. Samuel Lee Johansen, OD is an Optometry in Greenwood, South Carolina. Graduated from Southern College of Optometry in 2015, 11 years ago. Accepts Medicare assignment. Licensed in South Carolina.

Years since qualifying
11
Trained at
Southern College of Optometry
Licensed in
SC
In the registry since
2015
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

214 Waller Ave
Greenwood, SC 29646-2747
Phone: (864) 992-6386
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Optometrist (primary) Taxonomy 152W00000X · Licence 1872 (SC)

Record details

NPI number1497136139
Entity typeIndividual (Type 1)
GenderMale
Credentials OD
Sole proprietorNo
NPI enumeratedJune 17, 2015
Last updated in NPPESMarch 27, 2019

Medicare enrollment

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

Medicare specialtyOPTOMETRY
Medical schoolSOUTHERN COLLEGE OF OPTOMETRY
Graduated 2015 (11 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

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