DR. LORETTA L DE KOSTER (NPI# 1316028723) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1316028723 |
| Entity Type | Individual |
| Full Name | DR. LORETTA L DE KOSTER |
| Credential | O.D. |
| Practice Address |
2500 N. Harlem Ave Elmwood Park IL 60707-2020 |
| Practice Telephone | 7084564362 |
| Practice Fax Number | 7084565161 |
| Mailing Telephone | 7084564362 |
| Mailing Fax Number | 7084565161 |
| Enumeration Date | 2006-10-19 |
| Last Update Date | 2018-07-05 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 152W00000X | Optometrist | 046.008683 | IL | Eye and Vision Services Providers |
| N | 152W00000X | Optometrist | 046008683 | IL | Eye and Vision Services Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IL | EYE CARE PLAN OF AMERICA | 113869 | 01 |
| IL | LORETTA DE KOSTER NPI | 1316028723 | 01 |
| IL | MEDICARE PTAN | IL4407 | 01 |
| IL | NPI #1992982169 LORETTA DE KOSTER,O.D.,LTD. DBA MELROSE EYECARE | 1992982169 | 01 |
| IL | BLUE CROSS BLUE SHIELD | 01621057 | 01 |
| IL | DAVIS VISION | 6375 | 01 |
| Street Address |
2500 N. HARLEM AVE |
| City | ELMWOOD PARK |
| State | IL |
| Zip Code | 60707-2020 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679077408 | Karen Ennis, Slp, Inc. | Speech-Language Pathologist | 1709 73rd Ct, Elmood Park, IL 60707 | 2018-03-19 |
| 1518324995 | Dosha Grant | Registered Nurse | 2317 N Rutherford, Elmwood Park, IL 60707 | 2016-01-15 |
| 1962774794 | Oak Park Dental Group | Dentist | 7034 W. North Ave., Chicago, IL 60707 | 2012-02-09 |
| 1326277005 | Resurrection Services | Internal Medicine | 2433 North Harlem Ave, Ste 100, Chicago, IL 60707 | 2009-07-02 |
| 1134370059 | Mefagui Dental Office P.C. | Dentist | 6913 W. Grand Ave, Chicago, IL 60707 | 2008-10-09 |
| 1821265760 | Carly M. Smith | Chiropractor | 7716 W. North, Elmwood Pk, IL 60707 | 2008-05-09 |
| 1063695096 | Henry J. Hagopian D.d.s. P.C. | Dentist | 7518 W. North Avenue, Elmwood Park, IL 60707 | 2007-12-13 |
| 1386864411 | Brian M Caraba Dds PC | Dentist | 7124 W Diversey Ave, Chicago, IL 60707 | 2007-04-30 |
| 1104041243 | Clinics for Wellness and Neuropathy, LLC | Internal Medicine | 2333 N. Harlem, Chicago, IL 60707 | 2007-04-16 |
| 1972621050 | Sid Anderson | Psychologist | 2408 Westbrook Drive, Elmwood Park, IL 60707 | 2007-03-27 |
| Find all providers in zip 60707 | ||||
| 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 |
|---|---|---|---|---|
| 1992982169 | Loretta De Koster,o.d. Inc. | Optometrist | 2528 N Harlem Ave, Main Floor, Elmwood Park, IL 60707-2046 | 2008-01-30 |
| 1104993203 | Arnold D Craft | Optometrist | 201a Market St, Elmwood Park, NJ 07407-1405 | 2006-11-30 |
| 1952492647 | Stacy Elise Beute | Optometrist | 7310 W North Ave Ste 2h, Elmwood Park, IL 60707-4212 | 2006-09-27 |
| 1922038025 | Joanne Ramirez | Optometrist | 286 Market St, Elmwood Park, NJ 07407-2014 | 2006-07-04 |
| 1710488341 | Joanne Ramirez Od | Optometrist | 286 Market St, Elmwood Park, NJ 07407-2014 | 2018-02-28 |
| 1487079489 | Optical Techniques Family Eyecare LLC | Optometrist | 286 Market St, Elmwood Park, NJ 07407-2014 | 2014-02-27 |
| 1750718656 | James A Cindrario O D P C | Optometrist | 286 Market St, Elmwood Park, NJ 07407-2014 | 2013-10-09 |
| 1316249527 | Christopher D. Frame, LLC | Optometrist | 7310 W North Ave, 2h, Elmwood Park, IL 60707-4252 | 2010-11-19 |
| 1023204955 | Christopher David Frame | Optometrist | 7310 W North Ave, Suite 2h, Elmwood Park, IL 60707-4252 | 2007-09-25 |
| 1780882712 | Stacy Beute, Ltd. | Optometrist | 7310 W North Ave Ste 2h, Elmwood Park, IL 60707-4212 | 2007-07-11 |
| Find all providers in ELMWOOD PARK | ||||
| City | ELMWOOD PARK |
| Zip Code | 60707 |
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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.