CHITTICK FAMILY EYE CARE LTD (NPI# 1336246552) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1336246552 |
| Entity Type | Organization |
| Organization Name | CHITTICK FAMILY EYE CARE LTD |
| Other Organization Name | LEON OPTOMETRIC CLINIC |
| Practice Address |
1104 N Vermilion St Danville IL 61832-3094 |
| Practice Telephone | 2174422631 |
| Practice Fax Number | 2174420119 |
| Mailing Telephone | 5088373790 |
| Mailing Fax Number | 2174420119 |
| Enumeration Date | 2006-09-20 |
| Last Update Date | 2020-04-07 |
| Authorized Official Name | DR. SHAWN P MALLADY (PRESIDENT) |
| Authorized Official Telephone | 5088373790 |
| Authorized Official Credential | OD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 152W00000X | Optometrist | 046008619 | IL | Eye and Vision Services Providers |
| Other Name | Type Code |
|---|---|
| Leon Optometric Clinic | Doing Business As Name - Organization |
| Street Address |
1104 N VERMILION ST |
| City | DANVILLE |
| State | IL |
| Zip Code | 61832-3094 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891772331 | Shawn P Mallady | Optometrist | 1104 N Vermilion St, Danville, IL 61832-3094 | 2005-12-27 |
| 1104899053 | John Everd Brothers | Optometrist | 1104 N Vermilion St, Chittick Family Eye Care, Danville, IL 61832-3094 | 2006-02-10 |
| 1790762243 | Ronald E Serfoss | Optometrist | 1104 N Vermilion St, Chittick Family Eye Care, Danville, IL 61832-3094 | 2005-12-27 |
| 1720065246 | Mark A Pellegrini | Optometrist | 1104 N Vermilion St, Chittick Family Eye Care, Danville, IL 61832-3094 | 2005-12-27 |
| 1073590592 | James B Kelley | Optometrist | 1104 N Vermilion St, Danville, IL 61832-3094 | 2005-12-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316593957 | Margaret Jean Heath | Technician | 310 N North St, Danville, IL 61832 | 2019-08-09 |
| 1215494620 | Osf Multi-specialty Group | Non-Pharmacy Dispensing Site | 3653 N Vermilion Dr, Danville, IL 61832 | 2019-02-22 |
| 1003263104 | Bayview Family Clinic | Nurse Practitioner | 3595 N Vermillion Street, Danville, IL 61832 | 2016-05-18 |
| 1194179499 | Kinisha Vasser | Social Worker | 1900 E. Main Steet, Danville, IL 61832 | 2016-04-22 |
| 1023497237 | Alpha Omega Counseling Services | Community/Behavioral Health | 120 N Vermilion, Danville, IL 61832 | 2015-05-20 |
| 1437557568 | Terri D. Dunn | Hearing Instrument Specialist | 733 N. Logan #4, Audibel Hearing Aids, Danville, IL 61832 | 2014-12-05 |
| 1518361682 | Rosemarie Renee Eck | Nurse Practitioner | 1900 E Main St, Bldg 101-171, Va Illiana Health Care System, Danville, IL 61832 | 2014-10-17 |
| 1497181747 | Usv Optical Inc. | Eyewear Supplier (Equipment, not the service) | 3649 N. Vermillion St., Danville, IL 61832 | 2013-09-18 |
| 1598000770 | Bayview Family Clinic Ltd | Health Maintenance Organization | 405 N. Sheridan St., Danville, IL 61832 | 2012-11-29 |
| 1992052666 | Katharine Lorraine Lerner | Pharmacist | 3649 N Vermilion St, Danville, IL 61832 | 2012-08-13 |
| Find all providers in zip 61832 | ||||
| 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 |
|---|---|---|---|---|
| 1518529346 | Emily Haddix | Optometrist | 104 Smoky Way Ste 100, Danville, KY 40422-8729 | 2019-07-02 |
| 1144889585 | Stephanie Sonnenburg | Optometrist | 125 Executive Dr Ste E, Danville, VA 24541-4155 | 2019-06-10 |
| 1700449501 | Vep Il Optometric LLC | Optometrist | 3679 N Vermilion St Unit A, Danville, IL 61832-1167 | 2019-04-17 |
| 1912389446 | Utang Ekpo | Optometrist | 3679 N Vermilion St, Suite A, Danville, IL 61832-1167 | 2015-06-20 |
| 1730591660 | Stephanie Lew | Optometrist | 417 Sycamore Valley Rd W, Danville, CA 94526-3951 | 2014-05-27 |
| 1023378635 | Vision Dynamics Optometric Center | Optometrist | 417 Sycamore Valley Road West, Danville, CA 94526 | 2012-05-17 |
| 1639458276 | Elizabeth Noel Distefano | Optometrist | 145 Holt Garrison Pkwy, Danville, VA 24540-5958 | 2011-08-14 |
| 1396058194 | Sarah C Sturgill | Optometrist | 600 N Logan Ave, Danville, IL 61832-4375 | 2010-07-21 |
| 1134354897 | W. Berry Maultsby, Jr., O.d., P.C. | Optometrist | 413 Mt. Cross Road, Suite 203, Danville, VA 24540 | 2009-05-26 |
| 1295981827 | Reena Thiara | Optometrist | Optometrist Inside Costco, 3150 Fostoria Way, Danville, CA 94526 | 2008-08-14 |
| Find all providers in DANVILLE | ||||
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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.