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Contact Information

DAVID A JOHNSON, OD
611 W. PARK ST.
OPTHALMOLOGY/OPTOMETRY
URBANA, IL61801
 Phone: 217-383-3150
 Fax: 217-383-4845
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Optometrist

152W00000X 41 Optometry
Indicates primary specialty

NPI Profile & details for DAVID A JOHNSON · (Male)

NPI # 1386669075
Status Active
Credentials OD (Doctor of Optometry)
Entity Individual
Enumeration date 07/13/2006
Last updated 05/26/2015 - About 11 years ago
Sole proprietor 1 No
Identifiers
  • IL License # 046009048
  • IL Other 0533210001 DMERC
  • IL Other P00180818 RAILROAD
Hospital affiliation(s)
  • CARLE FOUNDATION HOSPITAL - (Acute Care)
    611 WEST PARK STREET
    URBANA, IL 61801
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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