Mark D. Johnson, OD

NPI #1881665073 in Scott Afb, Illinois

Provider Information

NPI Number: 1881665073
Entity Type: Individual
Name: Mark D. Johnson, OD
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Optometrist
Credential: OD
Enumeration Date: Jan 27, 2006
Last Updated: Aug 8, 2018

Practice Location

Address: 310 W LOSEY ST
City: Scott Afb
State: Illinois
ZIP Code: 62225
Phone: (618) 256-6267

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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