Johnson, Mark D.

Johnson, Mark D. is an individual health care provider with primary practice located at 310 W Losey St , Scott Afb IL 62225. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Johnson, Mark D. can be contacted via phone (618) 256-6267.

Contact Information

Primary practice address
310 W Losey St Scott Afb IL 62225
Phone: (618) 256-6267
Fax: (618) 256-7931
Website:
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Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 18002934A Indiana
Eye and Vision Services Providers / Optometrist 152W00000X 046010751 Illinois

Profile Details

NPI number 1881665073
LBN Legal business name Johnson, Mark D.
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 27th, 2006
Last updated Aug 8th, 2018 - about 7 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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