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Contact Information

ROBIN L JOHNSON, OD
418 S POPLAR
SUITE 5
CENTRALIA, IL62801
 Phone: 618-533-4929
 Fax: 618-533-4929
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Optometrist

152W00000X 41 Optometry
Indicates primary specialty

NPI Profile & details for ROBIN L JOHNSON · (Male)

NPI # 1558302240
Status Active
Credentials OD (Doctor of Optometry)
Entity Individual
Enumeration date 06/10/2006
Last updated 08/12/2008 - About 18 years ago
Sole proprietor 1 Yes
Identifiers
  • IL License # 046007927
  • IL License # 047207927
  • IL Medicaid 046007927
Hospital affiliation(s) Not Available
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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