Johnson Vision Care, Llc

LBN: Johnson Vision Care, Llc
Johnson Vision Care, Llc is an health care organization with primary practice located at 418 S Poplar St Ste 5 , Centralia IL 62801-3940. The organization recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as the primary health care specialty. Johnson Vision Care, Llc can be contacted via phone (618) 533-4929, or through Johnson, Robin Lee via phone (618) 533-4929.

Contact Information

Primary practice address
418 S Poplar St Ste 5 Centralia IL 62801-3940
Phone: (618) 533-4929
Fax: (618) 533-4929
Website:
Map and Directions
Authorized official contact:
Name: Johnson, Robin Lee Doctor of Optometry (OD)
Phone: (618) 533-4929

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X

Profile Details

NPI number 1952053365
LBN Legal business name Johnson Vision Care, Llc
DBA Doing business as
Authorized official Johnson, Robin Lee Doctor of Optometry (OD)
Entity Organization
Organization subpart 1 No
Enumeration date Jan 26th, 2022
Last updated Jan 26th, 2022 - about 4 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1952053365 NPPES
Illinois MEDICAID 046007927

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