Dr. Ansel T Johnson is a Blue Island, Illinois based male Optometrist with 39 years of experience in Optometry. He completed his graduation from New England College Of Optometry in 1985. He accepts the Medicare-approved amount. Patients will not be billed for any more than the Medicare deductible and coinsurance. Active license number of Dr. Ansel T Johnson is 046007826 for Optometry in Illinois. Dr. Ansel T Johnson 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. He 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. He is a eye health care professional who is state-licensed to diagnose and treat diseases and disorders of the eye and visual system.
Complete Profile:
Dr. Ansel T Johnson speciality, credentials, practice address, contact phone number and fax are as below.
Patients can directly walk in or can call on the below given phone number for appointment.
Specialization:
Optometry
Credentials:
OD
Experience:
39+ years
Medical School Attended:
New England College Of Optometry
Graduation Year:
1985
Gender:
Male
Accepts Medicare Assignment:
Yes
Practice Address:
12812 Western Ave, Blue Island, Illinois, 60406-2118
Phone:
708-385-0013
Fax:
708-385-1175
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
PAC ID:
4880597293
Enrollment ID:
I20040203000531
NPI Number:
1023106309
NPI Enumeration Date:
11 Oct, 2006
NPI Last Update On:
21 Sep, 2020
Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Dr. Ansel T Johnson are as mentioned below.
License Number
Specialization
State
Status
046007826
Optometry
Illinois
Primary
Group Practice:
Group practices are run by a group of physicians who share their premises and other resources. Following list states all the group name
with which Dr. Ansel T Johnson has association with along with the number of members in that group.
Organization Name (Group PAC ID)
Members
The Vision Salon, Ltd. (0345143855)
2
Other Medical Identifiers:
Other legacy medical identifiers associated with Dr. Ansel T Johnson such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
1636075
Other
Illinois
BCBSIL ID
046007826
Medicaid
Illinois
0718670001
Other
Illinois
DMERC PIN
363718601
Other
Illinois
TAX ID
410011831
Other
RAIL ROAD MEDICARE PIN
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
12812 Western Ave, Blue Island, Illinois
Zip:
60406-2118
Phone Number:
708-385-0013
Fax Number:
708-385-1175
Patients can reach Dr. Ansel T Johnson at 12812 Western Ave, Blue Island, Illinois or can call to book an appointment on 708-385-0013. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 11 November, 2024.