DR. STEVEN ALAN UDESKY (NPI# 1023160082) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1023160082 |
| Entity Type | Individual |
| Full Name | DR. STEVEN ALAN UDESKY |
| Credential | O.D. |
| Practice Address |
6136 Grand Ave Gurnee IL 60031-1650 |
| Mailing Address |
2750 Dundee Rd Ste 2 Northbrook IL 60062-2600 |
| Practice Telephone | 8478551523 |
| Practice Fax Number | 8478551656 |
| Mailing Telephone | 8475622010 |
| Enumeration Date | 2007-01-18 |
| Last Update Date | 2012-09-05 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 152W00000X | Optometrist | 049009031 | IL | Eye and Vision Services Providers |
| Street Address |
6136 GRAND AVE |
| City | GURNEE |
| State | IL |
| Zip Code | 60031-1650 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790835247 | Luxottica Retail North America Inc | Eyewear Supplier (Equipment, not the service) | 6136 Grand Ave, Gurnee Mills Mall, Gurnee, IL 60031-1650 | 2007-01-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881174720 | Rockelle Waggoner | Behavioral Analyst | 489 Tanglewood Dr, Gurnee, IL 60031 | 2018-08-20 |
| 1316434376 | Lake County Internal Medicine Assoc LLC | Non-Pharmacy Dispensing Site | 15 Tower Ct., Ste 190, Gurnee, IL 60031 | 2018-04-16 |
| 1588163364 | Advanced Endodontics, PC | Dentist | 103 S. Greenleaf Street, Suite K, Gurnee, IL 60031 | 2018-02-07 |
| 1578081550 | Northshore Medical Consultants, Ltd | Family Medicine | 1425 Hunt Club Rd. #302, Gurnee, IL 60031 | 2017-08-30 |
| 1336678739 | Sarah Beth Fugelseth | Nurse Practitioner | 1445 N Hunt Club Rd Ste 304, Gurnee, IL 60031 | 2017-06-08 |
| 1174079867 | Lifecarepros, LLC | In Home Supportive Care | 223 North Route 21, Gurnee, IL 60031 | 2016-09-01 |
| 1740733195 | Ryan Lee Winslow | Chiropractor | 6021 Washington St, Unit B, Gurnee, IL 60031 | 2016-08-02 |
| 1891129599 | Smart Scan Mri, LLC | Clinic/Center | 350 S. Greenleaf, Suite 401, Gurnee, IL 60031 | 2013-08-29 |
| 1568720076 | Yudelca Romano | Genetic Counselor, MS | 1125 Tri State Parkway, Gurnee, IL 60031 | 2012-05-03 |
| 1558637348 | Laura E Novak | Social Worker | 4212 Old Grand Avenue, Gurnne, IL 60031 | 2012-03-27 |
| Find all providers in zip 60031 | ||||
| Taxonomy Code | 152W00000X |
| Grouping | Eye and Vision Services Providers |
| Classification | Optometrist |
| Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists 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. An optometrist has 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. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system. |
| Notes: Source: American Optometric Association (AOA), approved by the AOA’s Board of Trustees, June 21, 2005. [7/1/2006: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811204332 | Rupal Doshi Clair | Optometrist | 310 S Greenleaf St Ste 209, Gurnee, IL 60031-5708 | 2010-09-03 |
| 1568631703 | Affordable Optical Inc | Optometrist | 6170 West Grand Ave, #451, Gurnee, IL 60031 | 2008-02-21 |
| 1447370341 | Linda Belson | Optometrist | 6641 W. Grand Avenue, Suite D, Gurnee, IL 60031 | 2007-04-02 |
| 1982738183 | Dr. Eric Nicholls and Associates, P.C. | Optometrist | 6590 Grand Ave., Gurnee, IL 60031 | 2007-03-16 |
| 1578617783 | Brent Gandolfi | Optometrist | 1475 Dilleys Road, Ste 4, Gurnee, IL 60031 | 2007-01-23 |
| 1780731380 | Inna Rogoff | Optometrist | 6170 Grand Ave, Ste 451, Gurnee, IL 60031-5263 | 2007-01-04 |
| 1366502718 | Thuy N Ho | Optometrist | 6641 Grand Avenue, Suite D, Gurnee, IL 60031-4502 | 2006-12-08 |
| 1366514176 | Eugene Berkovich | Optometrist | 6641 Grand Ave, Suite D, Gurnee, IL 60031-5262 | 2006-11-15 |
| 1598846644 | Sandy Saychaleune | Optometrist | 7105 Grand Ave Ste 2e, Gurnee, IL 60031-1604 | 2006-10-17 |
| 1144330242 | Jeffrey Alex Swafford | Optometrist | 1475 Dilleys Rd, Gurnee, IL 60031 | 2006-08-30 |
| Find all providers in GURNEE | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.