Dr Donna Sue Johnson, OD | |
418 S Poplar, Suite 5, Centralia, IL 62801 | |
(618) 533-4929 | |
(618) 533-4929 |
Full Name | Dr Donna Sue Johnson |
---|---|
Gender | Female |
Speciality | Optometrist |
Location | 418 S Poplar, Centralia, Illinois |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1174565378 | NPI | - | NPPES |
046007821 | Medicaid | IL |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
152W00000X | Optometrist | 046007821 (Illinois) | Primary |
Provider Name | Robin L Johnson |
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Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1558302240 PECOS PAC ID: 0042368789 Enrollment ID: I20090506000355 |
Mailing Address | Practice Location Address |
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Dr Donna Sue Johnson, OD 418 S Poplar, Suite 5, Centralia, IL 62801 Ph: (618) 533-4929 | Dr Donna Sue Johnson, OD 418 S Poplar, Suite 5, Centralia, IL 62801 Ph: (618) 533-4929 |
Dr. Daniel A Wolf, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 408 W 2nd St, Centralia, IL 62801 Phone: 618-532-5531 Fax: 618-532-6706 | |
Dr. Kathleen M Rivera - Kunz, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 408 W 2nd St, Centralia, IL 62801 Phone: 618-532-5531 Fax: 618-532-6706 | |
Amy Lee Ritzheimer, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 899 E Mccord St, Centralia, IL 62801 Phone: 618-969-8777 Fax: 618-997-6250 | |
Dr Mark C Hurst Optometrist Ltd Optometrist Medicare: Not Enrolled in Medicare Practice Location: 208 E 3rd St, Centralia, IL 62801 Phone: 618-532-2537 | |
Centralia Offices Optometrist Medicare: Not Enrolled in Medicare Practice Location: 408 W 2nd St, Centralia, IL 62801 Phone: 618-532-5531 Fax: 618-532-6706 | |
Dr. Robin Lee Johnson, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 418 S Poplar, Suite 5, Centralia, IL 62801 Phone: 618-533-4929 Fax: 618-533-4929 |