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

Samuel David Johnson, OD

Individual provider Optometrist · NPI 1962838565

Samuel David Johnson, OD is an Optometry in Fairmont, North Carolina. Graduated from Southern College of Optometry in 2013, 13 years ago. Practices with Samuel D Johnson OD PLLC, a 3-clinician group and accepts Medicare assignment. Licensed in North Carolina.

Years since qualifying
13
Trained at
Southern College of Optometry
Licensed in
NC
In the registry since
2013
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

204 Iona St
Fairmont, NC 28340-1616
Phone: (910) 628-8316
Fax: (910) 628-5642
Show map & directions

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 number1962838565
Entity typeIndividual (Type 1)
GenderMale
Credentials OD
Sole proprietorNo
NPI enumeratedSeptember 16, 2013
Last updated in NPPESSeptember 16, 2013
Mailing addressPo Box 648, Fairmont, NC 28340-0648

Medicare enrollment

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

Medicare specialtyOPTOMETRY
Medical schoolSOUTHERN COLLEGE OF OPTOMETRY
Graduated 2013 (13 years in practice)
Group practice Samuel D Johnson Od Pllc — 3 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

Other providers in Fairmont