Individual
DR. JOHN J. KONOPIK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
361 WINDING WOODS CTR, O FALLON, MO 63366-4170
(636) 281-5367
(800) 432-6004
Mailing address
211 E BROADWAY, ALTON, IL 62002-6220
(618) 462-9818
(800) 432-6004
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
2005019551
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
269620
GROUP HEALTH PLAN
—
01
—
282286
HEALTHLINK
—
05
—
317344802
—
MO
05
—
317344810
—
MO
01
—
60266
HEALTHCARE USA
MO
01
—
MO9551
EYEMED
—
01
—
P00403021
RR MEDICARE
MO
Enumeration date
03/08/2006
Last updated
04/21/2017
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