DR. Donna Sue Johnson, OD

NPI #1174565378 in Centralia, Illinois

Provider Information

NPI Number
1174565378
Entity Type
Individual
Name
DR. Donna Sue Johnson, OD
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Optometrist
Credential
OD
Enumeration Date
Jun 12, 2006
Last Updated
Aug 12, 2008

Practice Location

Address
418 S POPLAR
Address 2
SUITE 5
ZIP Code
62801
Phone
(618) 533-4929

Specialties & Taxonomy Codes

Specialty
Optometrist

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