Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
BRENDON J JOHNSON, O.D.
Active Sole ProprietorBRENDON J JOHNSON, O.D. is a Optometrist healthcare provider located in PEKIN, Illinois. NPI 1194774174 is currently active in the NPPES registry. Verify at CMS.
Optometrist · PEKIN, IL
Registration Details
- NPI Number
- 1194774174
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- May 8, 2006 (20.248597437212 yrs)
- Last Updated
- Dec 29, 2022
- License
-
046009489 (IL)
- Sole Proprietor
- Yes
Practice Information
- Address
-
2611 BROADWAY STPEKIN, IL, 615542501Browse IL providers · Browse ZIP 61554
- Phone
- 3093475989
- Fax
- 3093474315
- Primary Specialty
-
Optometrist
152W00000X
Other Optometrist Providers in PEKIN, IL
| Name | Credential | NPI |
|---|---|---|
| DR. IVETTA S DACCACHE | O.D. | 1790772143 |
| DR. TIMOTHY DANE SHELLEY | O.D. | 1699762047 |
| DR. JAWAD HAIDER | O.D. | 1326387457 |
| DR. SHWETA R HARVI | OD | 1033781562 |
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.