Kevin Johnson, OD

NPI #1922236264 in Springfield, Illinois

Provider Information

NPI Number: 1922236264
Entity Type: Individual
Name: Kevin Johnson, OD
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Optometrist
Credential: OD
Enumeration Date: Jun 25, 2009
Last Updated: Oct 23, 2019

Practice Location

Address: 2709 S KOKE MILL RD
City: Springfield
State: Illinois
ZIP Code: 62711
Phone: (217) 698-9477

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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