DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DR. DONNA SUE JOHNSON, OD

Active Sole Proprietor

DR. DONNA SUE JOHNSON, OD is a Optometrist healthcare provider located in CENTRALIA, Illinois. NPI 1174565378 is currently active in the NPPES registry. Verify at CMS.

Optometrist · CENTRALIA, IL

Registration Details

NPI Number
1174565378
Provider Type
Individual
Gender
Female
NPI Issued
Jun 12, 2006 (20.151665237238 yrs)
Last Updated
Aug 12, 2008
License
046007821 (IL)
Sole Proprietor
Yes

Practice Information

Address
418 S POPLAR
SUITE 5
CENTRALIA, IL, 62801
Browse IL providers · Browse ZIP 62801
Phone
6185334929
Fax
6185334929
Primary Specialty
Optometrist
152W00000X

Other Optometrist Providers in CENTRALIA, IL

Name Credential NPI
DR. KATHLEEN M RIVERA - KUNZ O.D. 1235134982
DR. DANIEL A WOLF O.D. 1225033970
DR. ROBIN LEE JOHNSON OD 1558302240
AMY LEE RITZHEIMER O.D. 1295167732
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.