DR. BRIAN BOUTON (NPI# 1154375392) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1154375392 |
| Entity Type | Individual |
| Full Name | DR. BRIAN BOUTON |
| Credential | OD |
| Practice Address |
2537 Plainfield Rd Joliet IL 60435-1463 |
| Practice Telephone | 8155772020 |
| Practice Fax Number | 8155770998 |
| Mailing Telephone | 8155772020 |
| Mailing Fax Number | 8155770998 |
| Enumeration Date | 2006-05-20 |
| Last Update Date | 2013-08-05 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 152W00000X | Optometrist | 046009118 | IL | Eye and Vision Services Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IL | BLUE CROSS BLUE SHIELD IL | 0009919581 | 01 |
| IL | 046009118 | 05 | |
| IL | AETNA | 1457618621 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164580130 | Brian P Bouton | Psychiatry & Neurology | 1552 Sunflower Fields Dr, Ruckersville, VA 22968-1511 | 2006-12-04 |
| Street Address |
2537 PLAINFIELD RD |
| City | JOLIET |
| State | IL |
| Zip Code | 60435-1463 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457618621 | Eye 2 Eye Vision Center PC | Optometrist | 2537 Plainfield Rd, Joliet, IL 60435-1463 | 2012-04-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851889018 | Chime Ajiere | Nurse Practitioner | 511 Theodore St, Joliet, IL 60435 | 2018-04-24 |
| 1740791284 | Melanie Presnak | Speech-Language Pathologist | 1207 N Larkin Ave, Joliet, IL 60435 | 2017-10-23 |
| 1831618883 | Jeriel Marsena Quarles | Licensed Practical Nurse | 1617 W Jefferson Street, Joliet, IL 60435 | 2017-09-11 |
| 1053769760 | Cody Hutchinson | Physical Therapy Assistant | 2943 W Jefferson St, Joliet, IL 60435 | 2016-06-03 |
| 1659748549 | Megan Ryab | Massage Therapist | 501 Wilcox St, Joliet, IL 60435 | 2015-08-26 |
| 1922416197 | Kodo Care, Inc. | Pharmacy | 221 Springfield Avenue, Suite A, Joliet, IL 60435 | 2014-07-31 |
| 1528489739 | My Family Doc LLC | Family Medicine | 2001-03 Essington Rd, Joliet, IL 60435 | 2013-12-16 |
| 1184973869 | R A Lombardi Dds PC | Dentist | 3011 Theodore St., Joliet, IL 60435 | 2012-09-10 |
| 1245546076 | Kelly Rae Lesemann | Chiropractor | 1011 Essington Road, Joliet, IL 60435 | 2010-08-31 |
| 1932413697 | Ann E Todd | Optometrist | 1521 Essington Road, Everything In Sight, Joliet, IL 60435 | 2010-08-04 |
| Find all providers in zip 60435 | ||||
| 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 |
|---|---|---|---|---|
| 1124627880 | Biren Patel | Optometrist | 1330 N Larkin Ave, Joliet, IL 60435-3765 | 2020-10-22 |
| 1497201693 | Monica L Cicimov & Associates Inc | Optometrist | 179 N Chicago St, Joliet, IL 60432-4126 | 2016-08-28 |
| 1174900757 | Melissa Suzanne Spoula | Optometrist | 3340 Mall Loop Dr Spc 1442, Joliet, IL 60431 | 2015-05-02 |
| 1194031484 | Jeffrey Lionel Harris | Optometrist | 3033 W Jefferson St Ste 101, Joliet, IL 60435-5249 | 2010-08-24 |
| 1932413697 | Ann E Todd | Optometrist | 1521 Essington Road, Everything In Sight, Joliet, IL 60435 | 2010-08-04 |
| 1720236805 | Eye Boutique Inc | Optometrist | 2239 W. Jefferson Street, Joliet, IL 60435-6303 | 2008-09-03 |
| 1013055656 | Lisa Marie Politza-termunde | Optometrist | 370 Houbolt Rd Ste 102, Joliet, IL 60431-8303 | 2007-02-04 |
| 1366535528 | Mark M Alles | Optometrist | 963 N. 129th Infantry Dr., Suite 110, Joliet, IL 60435 | 2006-10-02 |
| 1144275082 | Sabah Akbar | Optometrist | 3340 Mall Loop Dr, Joliet, IL 60431-1057 | 2006-05-22 |
| 1992755516 | D David Pesavento | Optometrist | 963 129th Infantry Dr, Suite 110, Joliet, IL 60435 | 2006-05-12 |
| Find all providers in JOLIET | ||||
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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.