DR. Justin William Johnson, O.D.

NPI #1518229210 in Rockford, Illinois

Provider Information

NPI Number: 1518229210
Entity Type: Individual
Name: DR. Justin William Johnson, O.D.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Optometrist
Credential: O.D.
Enumeration Date: Jun 9, 2012
Last Updated: Jan 23, 2020

Practice Location

Address: 3401 N PERRYVILLE RD
City: Rockford
State: Illinois
ZIP Code: 61114-8011
Phone: (815) 971-2800

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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