P Praxis·MD
● Active Type 1 · Individual

Susan Ly Johnson, O.D.

Optometrist·Boerne, TX· NPI 1235683889 · Enumerated 2016 · 9 years on NPI
Johnson is 1 of 21 optometrist providers in Boerne and 1 of 7867 in Texas.
NPI age
9 years
Enumerated 2016-08-12
Primary specialty
Optometrist
Licensed in
TX
1 state
Status
Active
No deactivations on record
Last NPPES update
2018-02-28
Source: monthly bulk 2026-05
Sole proprietor
Yes
Solo practice on file

How this provider compares

Across 7867 active optometrist providers in Texas.

NPI age
9 years
↓ 6 yr below median (15 yr)
State licenses
1 state
5% of peers hold multiple states
Subspecialties
0
13% of peers hold subspecialties

NPI lifetime · 2016 → 2026

2016-08Enumerated in NPPES
2016 2026

Where they practice

Practice location
124 E Bandera Rd Ste 403
Boerne, TX 780062849
📞 8303318745fax 8303318749
Mailing address
124 E Bandera Rd Ste 403
Boerne, TX 780062849
📞 8303318745fax 8303318749

Specialties

  • Optometrist Primary
    Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as...
    TX license #8940-TG taxonomy 152W00000X

Identifiers

TypeValueNotes
05 (TX) 376410201

Practice context

Solo or small practice. No other active providers share this practice address in NPPES. This provider is listed as a sole proprietor.

Recently enumerated nearby: 1 new optometrist provider has been added in Boerne in the last 180 days. See all →
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How to verify this provider

  1. Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
  2. Check the state license is currently active.State licensing boards publish current status; NPPES does not.
  3. Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.

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