EYE Q OPTIQUE AT IMD, INC. (NPI# 1093379877) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1093379877 |
| Entity Type | Organization |
| Organization Name | EYE Q OPTIQUE AT IMD, INC. |
| Other Organization Name | EYE Q OPTIQUE |
| Practice Address |
709 S. Seeley Ave. Chicago IL 60612 |
| Mailing Address |
722 S Buffalo Grove Rd Buffalo Grove IL 60089-3708 |
| Practice Telephone | 3128720201 |
| Practice Fax Number | 8475891375 |
| Mailing Telephone | 8474047647 |
| Mailing Fax Number | 8475891375 |
| Enumeration Date | 2019-04-26 |
| Last Update Date | 2020-07-13 |
| Authorized Official Name | MS. NARMINA GUSEYNOVA (PRESIDENT) |
| Authorized Official Telephone | 8474047647 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 152W00000X | Optometrist | Eye and Vision Services Providers | ||
| N | 156FX1800X |
Technician/Technologist Specialization: Optician |
Eye and Vision Services Providers | ||
| Y | 332H00000X | Eyewear Supplier (Equipment, not the service) | Suppliers |
| Other Name | Type Code |
|---|---|
| EYE Q OPTIQUE | Doing Business As Name - Organization |
| Street Address |
709 S. SEELEY AVE. |
| City | CHICAGO |
| State | IL |
| Zip Code | 60612 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144839739 | Sandhya Shri Kannayiram | Internal Medicine | 1901w Harrison Street, Chicago, IL 60612 | 2020-07-29 |
| 1568080174 | Nastaran Ordoyo Haghani Rad | Student in an Organized Health Care Education/Training Program | 1950 W. Polk Street, Room 6203, Chicago, IL 60612 | 2020-07-09 |
| 1669090403 | Marianne Gagnon-konamna | Student in an Organized Health Care Education/Training Program | 1950 West Polk Street, Chicago, IL 60612 | 2020-07-08 |
| 1922625672 | Tanya Montgomery Nee Brown | Pediatrics | 1950 West Polk Street, Neonatal and Perinatal Department, Chicago, IL 60612 | 2020-06-29 |
| 1124643028 | Ashley Swan | Dentist | 801 S. Paulina St, Uic College of Dentistry - Endodontics Clinic, Chicago, IL 60612 | 2020-06-16 |
| 1831711381 | Baillie Anne Bronner | Obstetrics & Gynecology | 1653 W Congress Pkwy Chicago, Il 60612, Chicago, IL 60612 | 2020-05-07 |
| 1154942449 | Keisha Davell Cole | Case Manager/Care Coordinator | 612 S Western Ave Unit 1, Chicago, IL 60612 | 2020-04-28 |
| 1275153777 | Isac Lim | Student in an Organized Health Care Education/Training Program | 1234 S. Wells, Chicago, IL 60612 | 2020-04-24 |
| 1578183414 | Zachary Belden | Student in an Organized Health Care Education/Training Program | Uic Psychiatry Residency 912 S. Wood St., Rm 130b Npi-s (mc 913), Chicago, IL 60612 | 2020-04-21 |
| 1548880560 | Christina Nunez | Student in an Organized Health Care Education/Training Program | 801 S. Paulina Street, M/c 850, Chicago, IL 60612 | 2020-04-20 |
| Find all providers in zip 60612 | ||||
| Taxonomy Code | 332H00000X |
| Grouping | Suppliers |
| Classification | Eyewear Supplier (Equipment, not the service) |
| An organization that provides spectacles, contact lenses, and other vision enhancement devices prescribed by an optometrist or ophthalmologist. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972129294 | Luxottica Retail North America, Inc | Eyewear Supplier (Equipment, not the service) | 900 W North Ave, Chicago, IL 60642-2506 | 2020-06-23 |
| 1710512488 | Glasses On Oak St | Eyewear Supplier (Equipment, not the service) | 900 N Michigan Ave Fl 5, Chicago, IL 60611-1542 | 2020-03-03 |
| 1518526789 | Jand. Inc. | Eyewear Supplier (Equipment, not the service) | 851 W Randolph St Spc 2, Chicago, IL 60607-2310 | 2019-06-11 |
| 1679037642 | Jand. Inc. | Eyewear Supplier (Equipment, not the service) | 135 S Lasalle St, Chicago, IL 60603 | 2019-01-24 |
| 1346713344 | Fullerton Vision LLC | Eyewear Supplier (Equipment, not the service) | 4959 W Fullerton Ave, Chicago, IL 60639-2505 | 2019-01-02 |
| 1386127892 | Jand. Inc. | Eyewear Supplier (Equipment, not the service) | 3432 N Southport Ave, Chicago, IL 60657-8289 | 2018-09-11 |
| 1073020335 | Luxury Eyesight, LLC | Eyewear Supplier (Equipment, not the service) | 1457 N Halsted St Unit B101, Chicago, IL 60642-2676 | 2018-01-08 |
| 1023535382 | Jand. Inc. | Eyewear Supplier (Equipment, not the service) | 1123 N State St, Chicago, IL 60610-2717 | 2017-08-28 |
| 1972020238 | Jand. Inc. | Eyewear Supplier (Equipment, not the service) | 851 W Armitage Ave, Chicago, IL 60614-4328 | 2017-08-28 |
| 1528503042 | Luxottica of America Inc. | Eyewear Supplier (Equipment, not the service) | 908 North State Street, Chicago, IL 60610 | 2016-12-20 |
| Find all providers in CHICAGO | ||||
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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.