Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Kevin Johnson, OD

Individual provider Optometrist · NPI 1922236264

Kevin Johnson, OD is an Optometry in Springfield, Illinois. Graduated from Indiana University - School of Optometry in 2009, 17 years ago. Practices with Henderson Eye Center P C, a 2-clinician group and accepts Medicare assignment. Licensed in Illinois.

Years since qualifying
17
Trained at
Indiana University - School of Optometry
Licensed in
IL
In the registry since
2009
What do these letters mean?
OD — Doctor of Optometry
An optometrist: examines eyes, prescribes glasses and contacts, and treats many eye conditions.

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Practice location Address checks out

2709 S Koke Mill Rd
Springfield, IL 62711
Phone: (217) 698-9477
Fax: (217) 698-9474
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Optometrist (primary) Taxonomy 152W00000X · Licence 046.010236 (IL)

Record details

NPI number1922236264
Entity typeIndividual (Type 1)
GenderMale
Credentials OD
Sole proprietorNo
NPI enumeratedJune 25, 2009
Last updated in NPPESOctober 23, 2019
Mailing address2709 S Koke Mill Rd, Springfield, IL 62711

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyOPTOMETRY
Medical schoolINDIANA UNIVERSITY - SCHOOL OF OPTOMETRY
Graduated 2009 (17 years in practice)
Group practice Henderson Eye Center P C — 2 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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