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

Individual provider Optometrist · NPI 1912022641

Leonidas A Johnson, OD is an Optometry in Blue Island, Illinois. Graduated from Southern California College of Optometry in 1985, 41 years ago. Practices with Clinica De Salud Del Valle De Salinas, a 34-clinician group and accepts Medicare assignment. Licensed in California.

Years since qualifying
41
Trained at
Southern California College of Optometry
Licensed in
CA
In the registry since
2007
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

12812 Western Ave
Blue Island, IL 60406-2118
Phone: (708) 385-0013
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Optometrist (primary) Taxonomy 152W00000X · Licence 8254 (CA)

Record details

NPI number1912022641
Entity typeIndividual (Type 1)
GenderMale
Credentials OD
Sole proprietorYes
NPI enumeratedMarch 20, 2007
Last updated in NPPESSeptember 11, 2025
Certification dateOctober 16, 2021
Mailing address5333 N Sheridan Rd Apt 26d, Chicago, IL 60640-7323

Medicare enrollment

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

Medicare specialtyOPTOMETRY
Medical schoolSOUTHERN CALIFORNIA COLLEGE OF OPTOMETRY
Graduated 1985 (41 years in practice)
Group practice Clinica De Salud Del Valle De Salinas — 34 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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