ANGELA FAY FOSHAGE JOHNSON

SPRINGFIELD, IL
NPI1619283314
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy152W00000X Optometrist
(Licence: IL  046010376)
Additional Taxonomies152W00000X Optometrist
(Licence: MO  2010020580)
Enumeration Date2010-08-19
Last Update Date2012-09-24
Business Address
Dr. ANGELA FAY FOSHAGE JOHNSON O.D.
1100 LEJUNE DR
SPRINGFIELD, IL 62703-4537
Phone number: 217-529-6336
Mailing Address
Dr. ANGELA FAY FOSHAGE JOHNSON O.D.
2305 WESTCHESTER BLVD
SPRINGFIELD, IL 62704-5452
Phone number: 314-662-3117