| Brendon J Johnson, Od, Pc | |
|
2611 Broadway St, Pekin, IL 61554-2501 | |
| (309) 347-5989 | |
| (309) 347-4315 |
| Full Name | Brendon J Johnson, Od, Pc |
|---|---|
| Type | Facility |
| Speciality | Optometrist |
| Location | 2611 Broadway St, Pekin, Illinois |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1568647790 | NPI | - | NPPES |
| 046009489 | Medicaid | IL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | 046009489 (Illinois) | Primary |
| Provider Name | Brendon J Johnson |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1194774174 PECOS PAC ID: 4880664218 Enrollment ID: I20040731000030 |
| Mailing Address | Practice Location Address |
|---|---|
| Brendon J Johnson, Od, Pc 2988 Court St, Pekin, IL 61554-6229 Ph: () - | Brendon J Johnson, Od, Pc 2611 Broadway St, Pekin, IL 61554-2501 Ph: (309) 347-5989 |
Dr. Robert Berry Mcewan, O.D. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 3320 Veterans Dr, Pekin, IL 61554 Phone: 309-353-4220 Fax: 309-353-4222 | |
Jawad Haider Od Ltd Optometrist Medicare: Medicare Enrolled Practice Location: 3320 Veterans Dr, Pekin, IL 61554 Phone: 309-353-4220 Fax: 309-353-4222 | |
Bard Optical Optometrist Medicare: Medicare Enrolled Practice Location: 3287 Court St, Pekin, IL 61554 Phone: 309-353-9313 Fax: 309-353-4962 | |
Brendon J Johnson, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 2611 Broadway St, Pekin, IL 61554 Phone: 309-347-5989 Fax: 309-347-4315 | |
Bond Eye Associates, Sc Optometrist Medicare: Medicare Enrolled Practice Location: 725 S 14th St, Pekin, IL 61554 Phone: 309-353-6660 | |
Dr. Jawad Haider, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 3320 Veterans Dr, Pekin, IL 61554 Phone: 309-353-4220 |