Kevin Johnson, OD

Optometrist · Springfield, IL

Individual Active NPI

NPI number 1922236264

Practice location

2709 S Koke Mill Rd
Springfield, IL 62711
Phone
(217) 698-9477
Fax
(217) 698-9474

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NPI record

NPI
1922236264
Entity type
Individual (Type 1)
Enumeration date
June 25, 2009
Last updated
October 23, 2019
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Optometrist Primary 152W00000X 046.010236 IL

About Dr. Johnson

Kevin Johnson, OD is a healthcare provider registered in the NPI registry with the primary taxonomy Optometrist (code 152W00000X). The practice location is 2709 S Koke Mill Rd, Springfield, IL 62711. The NPI number 1922236264 was assigned on June 25, 2009 and the record was last updated on October 23, 2019.

Dr. Johnson lists a license in the registry: #046.010236 (IL) for Optometrist. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Kevin Johnson, OD?

The NPI number is 1922236264.

What is the phone number of Dr. Johnson?

The phone number listed for the practice location is (217) 698-9477.

Where is Dr. Johnson located?

2709 S Koke Mill Rd, Springfield, IL 62711.

What is the taxonomy code for Dr. Johnson?

The primary taxonomy code is 152W00000X – Optometrist.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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