Individual
LEONIDAS A JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
12812 WESTERN AVE, BLUE ISLAND, IL 60406-2118
(708) 385-0013
Mailing address
5333 N SHERIDAN RD APT 26D, CHICAGO, IL 60640-7323
(909) 772-8567
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
8254
CA
Other
Enumeration date
03/20/2007
Last updated
09/11/2025
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