Troy W Johnson (NPI# 1316091887, PAC ID# 2567497704) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is OPTOMETRY.
| Nation Provider ID (NPI) | 1316091887 |
| PAC ID by PECOS | 2567497704 |
| Professional Enrollment ID | I20050927000993 |
| Full Name | Troy W Johnson |
| Organization Legal Name | CLARKSON OPTOMETRY ILLINOIS PC |
| Address |
3000 Broadway St Mount Vernon IL 62864-2340 |
| Phone Number | 6182424141 |
| Gender | M |
| Credential | OD |
| Graduation Year | 2005 |
| Primary Specialty | OPTOMETRY |
| Group Practice PAC ID | 7012292147 |
| Number of Group Practice Members | 22 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 3000 Broadway St, Mount Vernon, IL 62864-2340 | 6182424141 | CLARKSON OPTOMETRY ILLINOIS PC |
| 3990 N Illinois St, Swansea, IL 62226-1919 | 6182771130 | JFJ EYECARE LTD |
| Organization Legal Name | CLARKSON OPTOMETRY ILLINOIS PC |
| Physicians | 18 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Mindy Miller | Optometry | Clarkson Optometry Illinois PC | 2645 N Illinois St, Clarkson Eyecare, Swansea, IL 62226-2302 |
| Dana S Rozell | Optometry | Clarkson Optometry Illinois PC | 3405 Nameoki Rd A, Clarkson Eyecare, Granite City, IL 62040-3709 |
| Brett Sobieralski | Optometry | Clarkson Optometry Illinois PC | 10 Lincoln Hwy, Suite 101, Fairview Heights, IL 62208-2100 |
| Daniel A Wolf | Optometry | Clarkson Optometry Illinois PC | 103 Clintonian Plz, Breese, IL 62230-1501 |
| Jennifer Brave Rafati | Optometry | Clarkson Optometry Illinois PC | 2525 Green Mount Commons Dr, Suite 290, Belleville, IL 62221-6735 |
| Thomas J Johnson | Optometry | Clarkson Optometry Illinois PC | 1819 B Homer Adams Pkwy, Alton, IL 62002-5606 |
| Chad R Baker | Optometry | Clarkson Optometry Illinois PC | 6663 Edwardsville Crossing Dr B, Clarkson Eyecare, Edwardsville, IL 62025-2704 |
| Keith R Hamm | Optometry | Clarkson Optometry Illinois PC | 3248 Green Mount Crossing Dr, Shiloh, IL 62269-7284 |
| Jason Richard Diehl | Optometry | Clarkson Optometry Illinois PC | 1025 Columbia Ctr, Columbia, IL 62236-2546 |
| Becky L Rock | Optometry | Clarkson Optometry Illinois PC | 12603, 143 Clarkson Eyecare, Highland, IL 62249-1194 |
| Street Address |
3000 BROADWAY ST |
| City | MOUNT VERNON |
| State | IL |
| Zip | 62864-2340 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Christa S Pestka | Family Medicine | Christopher Greater Area Rural Health Planning Corp | 2920 Veterans Pkwy, Mount Vernon, IL 62864 |
| Jacklyn Hedger | Nurse Practitioner | Christopher Greater Area Rural Health Planning Corp | 2920 Veterans Pkwy, Mount Vernon, IL 62864 |
| Lydia Ann Williams | Psychologist, Clinical | 4230 Lincolnshire Dr E, Mount Vernon, IL 62864-2189 | |
| Linden R Pearson | Family Medicine | 4230 Lincolnshire Dr G, Mount Vernon, IL 62864-2189 | |
| Kevin C Wright | Diagnostic Radiology | Virtual Radiologic Professionals LLC | 3614 Victoria Ave, Mount Vernon, IL 62864-2208 |
| Mark C Hurst | Optometry | 4 Westwood Dr, Mount Vernon, IL 62864-2212 | |
| Jennifer L Craig | Optometry | J Bass Ltd | 112 S 42nd St, Mount Vernon, IL 62864-2243 |
| Jennifer R Bass | Optometry | J Bass Ltd | 112 S 42nd St, Mount Vernon, IL 62864-2243 |
| Erin Hocking Ayers | Optometry | Marion Eye Centers Ltd | 2900 Broadway St A, Mount Vernon, IL 62864-2341 |
| Murke F Harrison | Family Medicine | 2712 Broadway St, Mount Vernon, IL 62864-2342 | |
| Find all physicians in zip 62864 | |||
| City | MOUNT VERNON |
| Zip Code | 62864 |
| Specialty | OPTOMETRY |
| City + Specialty | MOUNT VERNON + OPTOMETRY |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.