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

Tanner Owen Johnson

Individual provider Optometrist · NPI 1700630209

Tanner Owen Johnson is an Optometry in Holly Springs, North Carolina. Qualified in 2024, 2 years ago. Practices with Eyecare Specialties of North Carolina OD PLLC, a 12-clinician group and accepts Medicare assignment. Licensed in North Carolina.

Years since qualifying
2
Licensed in
NC
In the registry since
2024
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Practice location Address checks out

504 Village Walk Dr
Holly Springs, NC 27540-4440
Phone: (919) 351-8600
Fax: (314) 741-4947
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Optometrist (primary) Taxonomy 152W00000X · Licence 2811 (NC)

Record details

NPI number1700630209
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedApril 12, 2024
Last updated in NPPESFebruary 7, 2025
Certification dateFebruary 7, 2025

Medicare enrollment

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

Medicare specialtyOPTOMETRY
Medical schoolOTHER
Graduated 2024 (2 years in practice)
Group practice Eyecare Specialties Of North Carolina Od Pllc — 12 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Holly Springs