Johnson Vision Care, LLC

Primary specialty

OptometristTaxonomy code 152W00000X

Legal business name

JOHNSON VISION CARE, LLC

Practice address

418 S Poplar St Ste 5
Centralia, IL 62801-3940

Phone

(618) 533-4929

Fax

(618) 533-4929

NPI assigned

Jan 26, 2022

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Robin Lee Johnson, ODNPI 1558302240

Title

Owner/ Optometrist

Phone

(618) 533-4929

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Johnson Vision Care Former legal business name

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Robin Lee Johnson, OD

  • Optometrist
  • Centralia, IL
  • NPI 1558302240
  NPD Authorized official
• Donna Sue Johnson, OD

  • Optometrist
  • Centralia, IL
  • NPI 1174565378
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1643155200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1643155200000",
    "number": "1952053365",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "418 S POPLAR ST STE 5",
            "city": "CENTRALIA",
            "state": "IL",
            "postal_code": "628013940",
            "telephone_number": "618-533-4929",
            "fax_number": "618-533-4929"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "418 S POPLAR ST STE 5",
            "city": "CENTRALIA",
            "state": "IL",
            "postal_code": "628013940",
            "telephone_number": "618-533-4929",
            "fax_number": "618-533-4929"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOHNSON VISION CARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-01-26",
        "last_updated": "2022-01-26",
        "certification_date": "2022-01-26",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "ROBIN",
        "authorized_official_middle_name": "LEE",
        "authorized_official_title_or_position": "OWNER/ OPTOMETRIST",
        "authorized_official_telephone_number": "618-533-4929",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "046007927",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Johnson Vision Care",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Lolita Isaiah
• J Franklin Whipps
• James B. Stiehl, MD, PC
• James L Schutzenhofer MD LLC
• Laura Ann Jansen, MA
• Andrea Marie Johnson, PMHNP
• Donna Sue Johnson, OD
• Keith Johnson, LCPC
• Laura Marie Johnson, DPT
• Rae A Johnson

• Optometrist in Centralia, IL
• Providers in Centralia, IL by specialty
• Optometrist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.