DR. Robin Lee Johnson, OD

NPI #1558302240 in Centralia, Illinois

Provider Information

NPI Number: 1558302240
Entity Type: Individual
Name: DR. Robin Lee Johnson, OD
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Optometrist
Credential: OD
Enumeration Date: Jun 10, 2006
Last Updated: Aug 12, 2008

Practice Location

Address: 418 S POPLAR
Address 2: SUITE 5
City: Centralia
State: Illinois
ZIP Code: 62801
Phone: (618) 533-4929

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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