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

Susan Ly Johnson, OD

Individual provider Optometrist · NPI 1235683889

Susan Ly Johnson, OD is an Optometry in Boerne, Texas. Qualified in 2016, 10 years ago. Practices with Boerne Vision Center PA, a 3-clinician group and accepts Medicare assignment. Licensed in Texas.

Years since qualifying
10
Licensed in
TX
In the registry since
2016
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

124 E Bandera Rd Ste 403
Boerne, TX 78006-2849
Phone: (830) 331-8745
Fax: (830) 331-8749
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Optometrist (primary) Taxonomy 152W00000X · Licence 8940-TG (TX)

Record details

NPI number1235683889
Entity typeIndividual (Type 1)
GenderFemale
Credentials OD
Sole proprietorYes
NPI enumeratedAugust 12, 2016
Last updated in NPPESFebruary 28, 2018
Mailing address124 E Bandera Rd Ste 403, Boerne, TX 78006-2849

Medicare enrollment

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

Medicare specialtyOPTOMETRY
Medical schoolOTHER
Graduated 2016 (10 years in practice)
Group practice Boerne Vision Center Pa — 3 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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