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Active NPI 1871286153 Individual Practitioner Male Practitioner

Gary Johanson , LDO

Technician/Technologist - Optician • Daytona Beach, FL

Professional Overview & Biography Verified Profile Summary

Gary Johanson, LDO is a registered healthcare professional specializing in Technician/Technologist - Optician in Daytona Beach, FL. Practice services are available at 1460 CORNERSTONE BLVD under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

1460 Cornerstone Blvd

Daytona Beach, FL 321177174

Telephone 3867603330
Fax 3862742051
Associated Practice Facility / Clinic
🏢 Sams East Inc Facility NPI 1033136445

Specialty Benchmarks & Practice Insights

Comparative analytics for Technician/Technologist - Optician in Daytona Beach, FL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 10.2 Yrs
Regional Practice Density
5 Specialists

Practicing in Daytona Beach, FL (686 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2023-06-01
Technician/Technologist - Optician Primary Specialty

NUCC Taxonomy Code: 156FX1800X

State License FL 01914

Opticians help fit eyeglasses and contact lenses, following prescriptions from Ophthalmologists and Optometrists. They also help customers decide which eyeglass frame or contact lenses to buy.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

2 Associated Practitioners
Denise Read , DO48699

Technician/Technologist - Optician

NPI 1063105872
Dr. Laura Ceuninck , DO

Technician/Technologist - Optician

NPI 1154014967

Doctor of Osteopathic Medicine (D.O.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active June 01, 2023

NPI status registered as active in NPPES database

📍
Updated Practice Location June 01, 2023

Registered at 1460 CORNERSTONE BLVD, DAYTONA BEACH, FL 321177174 (Tel: 3867603330)

📍
Updated Business Mailing Address June 01, 2023

Registered at 1460 CORNERSTONE BLVD, DAYTONA BEACH, FL 321177174 (Tel: 3867603330)

👤
Provider Name / Credentials Updated June 01, 2023

Recorded as GARY JOHANSON, LDO

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) June 01, 2023

Technician/Technologist (License #01914 in FL)

🟢
Initial NPI Registration & Enumeration June 01, 2023

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1871286153
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 01, 2023
Last Update: June 01, 2023
Sole Proprietor: No

Mailing Address

1460 Cornerstone Blvd

Daytona Beach, FL 321177174

Phone: 3867603330

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.