Organization
JOHNSON VISION CARE, LLC
Active
Other names
Johnson Vision Care
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROBIN LEE JOHNSON OD (OWNER/ OPTOMETRIST)
(618) 533-4929
Entity
Organization
Contact information
Practice address
418 S POPLAR ST STE 5, CENTRALIA, IL 62801-3940
(618) 533-4929
(618) 533-4929
Mailing address
418 S POPLAR ST STE 5, CENTRALIA, IL 62801-3940
(618) 533-4929
(618) 533-4929
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
046007927
—
IL
Enumeration date
01/26/2022
Last updated
01/26/2022
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