Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. ANSEL T JOHNSON, OD
Active Sole ProprietorDR. ANSEL T JOHNSON, OD is a Optometrist healthcare provider located in BLUE ISLAND, Illinois. NPI 1023106309 is currently active in the NPPES registry. Verify at CMS.
Optometrist · BLUE ISLAND, IL
Registration Details
- NPI Number
- 1023106309
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Oct 11, 2006 (19.847980607162 yrs)
- Last Updated
- Sep 21, 2020
- License
-
046007826 (IL)
- Sole Proprietor
- Yes
Practice Information
- Address
-
12812 WESTERN AVEBLUE ISLAND, IL, 604062118Browse IL providers · Browse ZIP 60406
- Phone
- 7083850013
- Fax
- 7083851175
- Primary Specialty
-
Optometrist
152W00000X
Other Optometrist Providers in BLUE ISLAND, IL
| Name | Credential | NPI |
|---|---|---|
| DR. JILL C INGELSE | O.D. | 1528058443 |
| EIMAN YOUSIF GAFOUR | O.D | 1043227168 |
| LEONIDAS A JOHNSON | OD | 1912022641 |
| DANIEL AHRENS | — | 1700299658 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.