Johnson, Justin William

Johnson, Justin William is an individual health care provider with primary practice located at 3401 N Perryville Rd , Rockford IL 61114-8011. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Johnson, Justin William can be contacted via phone (815) 971-2800.

Contact Information

Primary practice address
3401 N Perryville Rd Rockford IL 61114-8011
Phone: (815) 971-2800
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 046.010546 Illinois

Profile Details

NPI number 1518229210
LBN Legal business name Johnson, Justin William
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 9th, 2012
Last updated Jan 23rd, 2020 - about 4 years ago

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.

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