Individual
JOHNNIE GENE MURFIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
300 N GREENBRIAR DR, WALMART VISION CENTER, NORMAL, IL 61761
(309) 451-1500
(309) 451-1008
Mailing address
2809 KOLBY CT, BLOOMINGTON, IL 61704
(309) 451-1500
(309) 451-1008
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0005721315
BCBS OF IL
—
Enumeration date
09/27/2006
Last updated
07/08/2007
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