Johnson, Jeffrey Alan
Johnson, Jeffrey Alan is an individual health care provider with primary practice located at 855 Feinberg Ct Ste 110, Cary IL 60013. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Johnson, Jeffrey Alan can be contacted via phone (847) 516-3111.Contact Information
Primary practice address
855 Feinberg Ct Ste 110
Cary IL 60013
Phone: (847) 516-3111
Fax: (847) 516-3133
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | 046.007318 | Illinois |
Profile Details
| NPI number | 1063567808 |
|---|---|
| LBN Legal business name | Johnson, Jeffrey Alan |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 24th, 2007 |
| Last updated | Mar 7th, 2023 - about last year |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1063567808 | NPPES |
| Illinois | MEDICAID | 046007318 |
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