Search › Illinois › 152W00000X
Angela Foshage Johnson, O.D
NPI 1619283314 · on the registry since 2010 · sole proprietor
Practice
- Address
- 1100 Lejune Dr
Springfield, IL 62703 - Phone
- (217) 529-6336
- Organisation at this address
- Walmart Inc.
Wal-Mart Stores, Inc.
Jonathan L Ottino, O.D., P.C.Inferred from a shared address, not stated in the registry. - Clinicians at this address
- 5
Registry record
- Primary taxonomy
- 152W00000X
152W00000X
- Also registered as
- 152W00000X
- Licence states on file
- IL, MO
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2012-09-24
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