SearchIllinois152W00000X

Robin Johnson, OD

NPI 1558302240 · on the registry since 2006 · sole proprietor

Practice

Address
418 S Poplar
Suite 5
Centralia, IL 62801
Phone
(618) 533-4929
Fax
(618) 533-4929
Clinicians at this address
2

Registry record

Primary taxonomy
152W00000X
152W00000X
Also registered as
152W00000X
Licence states on file
IL
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2008-08-12

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Illinois