DR. Ansel T Johnson, OD

NPI #1023106309 in Blue Island, Illinois

Provider Information

NPI Number: 1023106309
Entity Type: Individual
Name: DR. Ansel T Johnson, OD
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Optometrist
Credential: OD
Enumeration Date: Oct 11, 2006
Last Updated: Sep 21, 2020

Practice Location

Address: 12812 WESTERN AVE
City: Blue Island
State: Illinois
ZIP Code: 60406-2118
Phone: (708) 385-0013

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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