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.

See every abbreviation used in this directory →

Claim this listing Report a problem Suggest an edit

Practice location Address checks out

2709 S Koke Mill Rd
Springfield, IL 62711
Phone: (217) 698-9477
Fax: (217) 698-9474
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

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

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

Other providers in Springfield