Organization
VISION SALON EYE CARE ASSOCIATES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ANSEL T JOHNSON (DOCTOR OF OPTOMETRY)
(708) 385-0013
Entity
Organization
Contact information
Practice address
13046 WESTERN AVE, BLUE ISLAND, IL 60406-2419
(708) 385-0013
(708) 385-1175
Mailing address
13046 WESTERN AVE, BLUE ISLAND, IL 60406-2419
(708) 385-0013
(708) 385-1175
Taxonomy
Speciality
Code
Description
License number
State
152WV0400X
Vision Therapy Optometrist
Primary
—
IL
Other
Enumeration date
05/09/2006
Last updated
08/22/2020
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