Kevin Johnson, OD

NPI 1922236264 · on the registry since 2009

Practice

Address: 2709 S Koke Mill Rd
Springfield, IL 62711
Phone: (217) 698-9477
Fax: (217) 698-9474
Organisation at this address: Koke Mill Optical
Henderson Eye Center P C
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 2

Registry record

Primary taxonomy: Optometrist
152W00000X
Licence states on file: IL
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2019-10-23

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