Jeffrey Alan Johnson O.D.

NPI 1063567808 - Optometrist - 152W00000X

NPI Details
NPI 1063567808
Gender Male
Enumeration Date 01/24/2007
Last Updated 02/03/2011
Entity Type Individual
Active Over 9 years ago
Practice Location
855 FEINBERG CT
STE 110
CARY IL, 60013, US
Phone (847) 516-3111
Fax (847) 516-3133
Business Location
855 FEINBERG CT
STE 110
CARY IL, 60013, US
Phone (847) 516-3111
Fax (847) 516-3133
Toxanomy
Taxonomy Code 152W00000X
License State Illinois
License Number 046.007318
Remove 1063567808 NPI Number
 

According to our database, Dr. Jeffrey Alan Johnson O.D. NPI is 1063567808, taxonomy code is 152W00000X and license number is 046.007318, license state is located at Illinois. Jeffrey Alan Johnson O.D. physically located at 855 Feinberg Ct, Cary IL, 60013. NPI Number Jeffrey Alan Johnson O.D. has the Individual type.

Sponsored links

1063567808 NPI number is provided on an as is basis without warranty of any kind. 1063567808 is maintained by the National Plan & Provider Enumeration System. The contents of Jeffrey Alan Johnson O.D. are for informational purposes only.