ARBOR CENTER FOR EYECARE SC (NPI# 1295792901) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1295792901 |
| Entity Type | Organization |
| Organization Name | ARBOR CENTER FOR EYECARE SC |
| Other Organization Name | ARBOR CENTERS FOR EYECARE |
| Practice Address |
2640 183rd St Homewood IL 60430-2914 |
| Practice Telephone | 7087986633 |
| Practice Fax Number | 7082498117 |
| Mailing Telephone | 7087986633 |
| Mailing Fax Number | 7082498117 |
| Enumeration Date | 2006-04-27 |
| Last Update Date | 2010-08-31 |
| Authorized Official Name | MR. DAVID M LUBECK (M.D. OWNER) |
| Authorized Official Telephone | 7087986633 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 156FX1100X |
Technician/Technologist Specialization: Ophthalmic |
========= | IL | Eye and Vision Services Providers |
| Other Name | Type Code |
|---|---|
| Arbor Centers for Eyecare | Doing Business As Name - Organization |
| Street Address |
2640 183RD ST |
| City | HOMEWOOD |
| State | IL |
| Zip Code | 60430-2914 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245291921 | David Lubeck | Ophthalmology | 2640 183rd St, `, Homewood, IL 60430-2914 | 2006-03-31 |
| 1932580644 | Madeline Dianne Ripa | Ophthalmology | 2640 183rd St, Homewood, IL 60430-2914 | 2015-06-18 |
| 1518122035 | Shivan Hiralal Tekwani | Ophthalmology | 2640 183rd St, Homewood, IL 60430-2914 | 2008-07-24 |
| 1902060163 | Ronald Louis Eldridge | Dentist | 2640 183rd St, Homewood, IL 60430-2914 | 2008-07-16 |
| 1831377282 | Ophthalmic Resources Group, Inc. | Specialist | 2640 183rd St, Homewood, IL 60430-2914 | 2008-02-07 |
| 1194786871 | Richard Quinones | Ophthalmology | 2640 183rd St, Homewood, IL 60430-2914 | 2006-03-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831702307 | Sms Dental LLC | Dentist | 17727 Halsted St, Homewood, IL 60430 | 2020-08-25 |
| 1619431020 | Jewish Child and Family Services | Clinic/Center | 1800 Ridge Road, Unit 204, Suite 4, Homewood, IL 60430 | 2019-01-30 |
| 1437636966 | Miracle Healthcare LLC | Clinic/Center | 2024 Hickory Rd Ste 306, Homewood, IL 60430 | 2018-07-26 |
| 1518443381 | Elizabeth Carol Rodgers | Developmental Therapist | 2820 Willow Rd, Homewood, IL 60430 | 2018-07-16 |
| 1114431764 | Kyla Shaneek O'neal | Counselor | 935 175th St Ste 300, Homewood, IL 60430 | 2017-11-17 |
| 1699221986 | Visionworks Inc | Eyewear Supplier (Equipment, not the service) | 17723 S Halsted St, Homewood, IL 60430 | 2016-08-28 |
| 1528420155 | Nathan Patrick Lagacy | Counselor | 3650 W. 183rd St., Homewood, IL 60430 | 2016-03-23 |
| 1891175725 | Quaneta Gates | Homeopath | 18216 Harwood Ave Unit 1 S, Homewood, IL 60430 | 2015-06-05 |
| 1164817334 | Shachi Pandya | Family Medicine | 18350 Kedzie Ave Ste 101, Homewood, IL 60430 | 2015-04-03 |
| 1790182327 | Floss Dental Care LLC | Preferred Provider Organization | 18650 Dixie Highway, Homewood, IL 60430 | 2014-11-25 |
| Find all providers in zip 60430 | ||||
| Taxonomy Code | 156FX1100X |
| Grouping | Eye and Vision Services Providers |
| Classification | Technician/Technologist |
| Specialization | Ophthalmic |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760979736 | Emerging Vision Inc | Technician/Technologist | 520 N. Michigan Ave, The Shops North Bridge, Ste 124, Chicago, IL 60611 | 2018-04-16 |
| 1033353644 | Gailey Eye Clinic, Ltd | Technician/Technologist | 2435 Village Green Pl, Champaign, IL 61822-7676 | 2009-04-27 |
| 1083819718 | Gailey Eye Clinic, Ltd | Technician/Technologist | 47 E Liberty Ln, Danville, IL 61832-1440 | 2007-06-21 |
| 1184829814 | Gailey Eye Clinic, Ltd | Technician/Technologist | 322 W Marion Ave, Forsyth, IL 62535-1064 | 2007-06-21 |
| 1275738908 | Gailey Eye Clinic, Ltd | Technician/Technologist | 4927 N Glen Park Place Rd, Peoria, IL 61614-4676 | 2007-06-21 |
| 1487859401 | Gailey Eye Clinic, Ltd | Technician/Technologist | 2121 Marquette Rd, Peru, IL 61354-1588 | 2007-06-19 |
| 1467582460 | Robert S. Baller, Md,pc | Technician/Technologist | 210 1-2 N Williamsburg Drive, Bloomington, IL 61704 | 2007-03-07 |
| 1285794362 | Tatjana K Pavlovic | Technician/Technologist | 2719 W Peterson Ave, Chicago, IL 60659-3919 | 2006-12-11 |
| 1861509051 | Joseph E Frydman, Md,sc | Technician/Technologist | 2634 Grand Ave Ste 201, Waukegan, IL 60085-2460 | 2006-08-24 |
| 1013961044 | Arbor Centers for Eye Care | Technician/Technologist | 11600 South Kedzie Ave, Merrionette Park, IL 60803 | 2006-05-22 |
| Find all providers with the same taxonomy | ||||
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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.