Individual
DR. JEFFREY ALAN JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
855 FEINBERG CT, STE 110, CARY, IL 60013
(847) 516-3111
(847) 516-3133
Mailing address
855 FEINBERG CT, STE 110, CARY, IL 60013
(847) 516-3111
(847) 516-3133
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
046.007318
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
046007318
—
IL
Enumeration date
01/24/2007
Last updated
03/07/2023
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