Brendon J Johnson, Od, Pc in Pekin - Optometrist
Brendon J Johnson, Od, Pc - NPI 1568647790
Brendon J Johnson, Od, Pc is a Optometrist in Pekin, Illinois. Brendon J Johnson, Od, Pc practices all healthcare services and medical treatments related to Optometrist. The NPI Number for Brendon J Johnson, Od, Pc is 1568647790. The last update date is 2020-03-04.
Brendon J Johnson, Od, Pc's current location address is 2611 Broadway St, Pekin, Illinois. You can contact this provider via phone number 3093475989 and fax number 3093474315. The mailing address for Brendon J Johnson, Od, Pc is 2611 Broadway St, Pekin, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Brendon J Johnson, Od, Pc |
|---|---|
| Address | 2611 Broadway St, Pekin, Illinois |
| Phone Number | 3093475989 |
| Fax Number | 3093474315 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | OWNER/DOCT |
|---|---|
| Authorized Official Name | Johnson J Brendon |
| Credentials | O.D. |
| Telephone Number | 3093475989 |
NPI Number Detail
| NPI Number | 1568647790 |
|---|---|
| Provider Enumeration Date | 2008-01-07 |
| Last Updated Date | 2020-03-04 |
Provider Mailing Address Detail
| Address | 2611 Broadway St |
|---|---|
| City | Pekin |
| State | Illinois (IL) |
| Post Code | 615542501 |
| Phone Number | 3093475989 |
| Fax Number | 3093474315 |
Provider's Primary Taxonomy Detail
| Speciality | Optometrist |
|---|---|
| Taxonomy | 152W00000X |
| Licence No | 46009489 |
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Definition: Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 46009489 | IL | -- |
Post Comment/ Review Below
What is the unique 10-digit identification code issued to Brendon J Johnson, Od, Pc by the Centers for Medicare & Medicaid Services?
The Brendon J Johnson, Od, Pc has been assigned the NPI (National Provider Identifier) 1568647790 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you please provide the complete physical location address of Brendon J Johnson, Od, Pc?
The Brendon J Johnson, Od, Pc is physically situated at 2611 Broadway St, in the city of Pekin, state of IL, with the postal code 615542501.
What is Brendon J Johnson, Od, Pc's area of expertise and its corresponding taxonomy classification?
The Brendon J Johnson, Od, Pc's field of specialization is Optometrist, and it falls under the taxonomy code 152W00000X, which categorizes healthcare providers based on their areas of practice.
On what date did the Brendon J Johnson, Od, Pc receive its 1568647790 assignment from the Centers for Medicare & Medicaid Services?
The Brendon J Johnson, Od, Pc was assigned its 1568647790 by the Centers for Medicare & Medicaid Services on 2008-01-07.
As of what date was the information regarding Brendon J Johnson, Od, Pc, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Brendon J Johnson, Od, Pc, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2020-03-04.