DR. JUSTIN WILLIAM JOHNSON (NPI# 1518229210) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1518229210 |
| Entity Type | Individual |
| Full Name | DR. JUSTIN WILLIAM JOHNSON |
| Credential | O.D. |
| Practice Address |
3401 N Perryville Rd Rockford IL 61114-8011 |
| Practice Telephone | 8159712800 |
| Mailing Telephone | 8159712800 |
| Enumeration Date | 2012-06-09 |
| Last Update Date | 2020-01-23 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 152W00000X | Optometrist | 046.010546 | IL | Eye and Vision Services Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285278069 | Justin Johnson | Home Health Aide | 5636 Statler Ave, Saint Louis, MO 63136-1127 | 2019-11-04 |
| 1750865382 | Justin Morgan Johnson | Behavioral Analyst | North Bldg. A, 230 N 1680 E, St George, UT 84790 | 2018-09-19 |
| 1134467731 | Justin Wesley Johnson | Dentist | 11201 Huguenot Road, Richmond, VA 23235 | 2013-01-17 |
| 1871898163 | Justin Johnson | Chiropractor | 2406 S State Rd, Ionia, MI 48846-2140 | 2011-01-18 |
| 1861605230 | Justin Bruce Johnson | Chiropractor | 4029 E. Colorado Blvd, Spearfish, SD 57783 | 2007-05-08 |
| 1255944641 | Justin Baily Johnson | Speech-Language Pathologist | 400 Shall St, Little Rock, AR 72202-2730 | 2020-08-26 |
| 1891314746 | Justin Indigo Johnson | Physical Therapist | 1300 Egg Harbor Rd, Sturgeon Bay, WI 54235-1277 | 2020-04-10 |
| 1447884242 | Justin Johnson | Behavior Technician | 6013 S Redwood Rd, Taylorsville, UT 84123-5220 | 2020-03-02 |
| 1487285557 | Justin M Johnson | Behavior Technician | 7100 Stevenson Blvd, Fremont, CA 94538-2485 | 2020-01-28 |
| 1518436377 | Justin Johnson | Counselor | 1700 Airport Way S, Seattle, WA 98134-1618 | 2018-11-21 |
| Street Address |
3401 N PERRYVILLE RD |
| City | ROCKFORD |
| State | IL |
| Zip Code | 61114-8011 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720068695 | Fazlur R. Zahurullah | Otolaryngology | 3401 N Perryville Rd, Rockford, IL 61114-8011 | 2006-01-18 |
| 1598263618 | Molly Rozeboom | Physician Assistant | 3401 N Perryville Rd, Rockford, IL 61114-8011 | 2018-01-23 |
| 1528513124 | Rebecca J Nygren | Physical Therapist | 3401 N Perryville Rd, Rockford, IL 61114-8011 | 2016-08-24 |
| 1164812541 | Colette Carter | Nurse Practitioner | 3401 N Perryville Rd, Rockford, IL 61114 | 2015-01-23 |
| 1598164469 | Heidi Johns-fiedler | Speech-Language Pathologist | 3401 N Perryville Rd, Rockford, IL 61114-8011 | 2014-08-17 |
| 1205261724 | Michelle Lee Cleveland | Nurse Practitioner | 3401 N Perryville Rd, Suite 303, Rockford, IL 61114-8011 | 2013-09-04 |
| 1659667186 | Pradeepa Franklin | Physical Therapist | 3401 N Perryville Rd, Rockford, IL 61114-8011 | 2011-06-23 |
| 1295067254 | Julie A Panek | Physical Therapist | 3401 N Perryville Rd, Rockford, IL 61114-8011 | 2010-02-02 |
| 1043448111 | Raju M Shanmugam | Family Medicine | 3401 N Perryville Rd, Rockford, IL 61114-8011 | 2009-06-29 |
| 1225289358 | Lisa A Angel | Physical Therapist | 3401 N Perryville Rd, Physical Therapy Dept, Rockford, IL 61114-8011 | 2008-10-07 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366064560 | Caleb Ifeoluwa Oluwadamisi | Student in an Organized Health Care Education/Training Program | Mercy Health Javon Bea Hospital, 8201 East Riverside Boulevard, Rockford, IL 61114 | 2020-05-11 |
| 1811525959 | Seifeldin Eid | Student in an Organized Health Care Education/Training Program | Mercyhealthjavon Bea Hospital, 8201, East Riversideboulevard, IL 61114 | 2020-04-01 |
| 1073167664 | Swedishamerican Hospital | Internal Medicine | 3505 N Bell School Road, Rockford, IL 61114 | 2019-07-31 |
| 1154980076 | Anurag Gill | Student in an Organized Health Care Education/Training Program | 8201 East Riverside Boulevard, Mercy Health Javon Bea Hospital, Rockford, IL 61114 | 2019-06-13 |
| 1578121943 | Sona Najafi | Student in an Organized Health Care Education/Training Program | Mercyhealth Javon Bea Hospital, 8201 East Riverside Blvd, Rockford, IL 61114 | 2019-05-31 |
| 1760045744 | Julianna Jones | Counselor | 6653 Weaver Rd Ste 115, Rockford, IL 61114 | 2019-04-16 |
| 1952869943 | Angela Marie Hawkins | Nurse Practitioner | 8201 E. Riverside Blvd, Pediatric Neurology, Rockford, IL 61114 | 2019-03-08 |
| 1376029231 | Meghan Beth Teske | Chiropractor | 3779 N. Alpine Rd., Rockfod, IL 61114 | 2018-07-13 |
| 1811401284 | Summit Radiology, LLC | Clinic/Center | 3849 N. Perryville Road, Rockford, IL 61114 | 2017-11-21 |
| 1548704299 | Rockford Orthopedic Associates, Ltd | Durable Medical Equipment & Medical Supplies | 5929 E Riverside Blvd, Rockford, IL 61114 | 2016-12-15 |
| Find all providers in zip 61114 | ||||
| Taxonomy Code | 152W00000X |
| Grouping | Eye and Vision Services Providers |
| Classification | Optometrist |
| 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 systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system. |
| Notes: Source: American Optometric Association (AOA), approved by the AOA’s Board of Trustees, June 21, 2005. [7/1/2006: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831749548 | Manpreet Kaur Dhaliwal | Optometrist | 6055 E State St Ste D01a, Rockford, IL 61108-2512 | 2019-09-14 |
| 1396399804 | Freedom Vision Centers LLC | Optometrist | 6150 E State St Ste 130, Rockford, IL 61108-2524 | 2019-08-01 |
| 1679127021 | Rosalba Ramirez | Optometrist | 5915 E Riverside Blvd, Rockford, IL 61114-4935 | 2019-07-24 |
| 1295214435 | Neil Patel | Optometrist | 7200 Harrison Ave Unit F35, Rockford, IL 61112-3014 | 2018-08-08 |
| 1568839231 | Irina Rutkowski | Optometrist | 1603 N Alpine Rd Ste 121, Rockford, IL 61107-1439 | 2015-08-28 |
| 1053603837 | Hina N Patel | Optometrist | 4777 E State St # 6, Rockford, IL 61108-8802 | 2011-05-11 |
| 1114237435 | Erica L Touhill-watson | Optometrist | 6790 Cannon Farms Dr Ne, Rockford, MI 49341-7720 | 2010-10-20 |
| 1952615684 | Aman Jalota | Optometrist | 6430 E State St, Rockford, IL 61108-2529 | 2010-08-05 |
| 1821248287 | Michael S. Feldt, O.d., Ltd. | Optometrist | 1640 Broadway, Rockford, IL 61104-6000 | 2008-09-23 |
| 1316107568 | Wight Optometric PC | Optometrist | 1975 Pawlisch Dr, Rockford, IL 61112-1069 | 2008-06-11 |
| Find all providers in ROCKFORD | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.