LUMEN OPTICAL ILLINOIS 2, LLC (NPI# 1386192219) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1386192219 |
| Entity Type | Organization |
| Organization Name | LUMEN OPTICAL ILLINOIS 2, LLC |
| Practice Address |
809 Church St Evanston IL 60201-3706 |
| Practice Telephone | 8013165508 |
| Enumeration Date | 2016-09-20 |
| Last Update Date | 2016-09-20 |
| Authorized Official Name | HEATHER ALLEN (PRIVACY OFFICER) |
| Authorized Official Telephone | 8013165508 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 152WP0200X |
Optometrist Specialization: Pediatrics |
Eye and Vision Services Providers | ||
| N | 152WV0400X |
Optometrist Specialization: Vision Therapy |
Eye and Vision Services Providers | ||
| N | 152WX0102X |
Optometrist Specialization: Occupational Vision |
Eye and Vision Services Providers | ||
| N | 156F00000X | Technician/Technologist | Eye and Vision Services Providers | ||
| N | 156FC0800X |
Technician/Technologist Specialization: Contact Lens |
Eye and Vision Services Providers | ||
| N | 156FC0801X |
Technician/Technologist Specialization: Contact Lens Fitter |
Eye and Vision Services Providers | ||
| N | 156FX1800X |
Technician/Technologist Specialization: Optician |
Eye and Vision Services Providers | ||
| N | 332H00000X | Eyewear Supplier (Equipment, not the service) | Suppliers | ||
| Y | 152W00000X | Optometrist | Eye and Vision Services Providers |
| Street Address |
809 CHURCH ST |
| City | EVANSTON |
| State | IL |
| Zip Code | 60201-3706 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356962898 | Sebastian Andres Cruz | Internal Medicine | Northshore University Healthsystem, Off of Acad Affairs, 2650 Ridge Ave., Suite 1304, Evanston, IL 60201 | 2020-05-06 |
| 1053970442 | Wade Gilman | Family Medicine | 1650 Ridge Ave, Ste 1304, Evanston, IL 60201 | 2019-06-10 |
| 1922577949 | Elizabeth Wilton Therapy, LLC | Counselor | 2901a Central St Ste 3, Evanston, IL 60201 | 2018-11-20 |
| 1952887812 | Sg Wellness LLC | Clinic/Center | 3008 Central Street, Evanston, IL 60201 | 2018-07-13 |
| 1689169591 | Michael Kert Zijlstra | Internal Medicine | Northshore University Healthsystem Office of Academic, Affairs 2650 Ridge Ave, Suite 1304, Evanston, IL 60201 | 2018-06-25 |
| 1982199725 | Elizabeth Hannah Lees | Internal Medicine | Northshore University Healthsystem Office of Academic A, 2650 Ridge Ave Suite 1304, Evanston, IL 60201 | 2018-06-25 |
| 1730674565 | Ashley Elizabeth Aller | Internal Medicine | Northshore University Healthsystem, Office Acad Affairs, 2650 Ridge Ave., Suite 1304, Evanston, IL 60201 | 2018-06-25 |
| 1669967683 | Ayush N Shah | Internal Medicine | 2650 Ridge Ave Ste 5315, Evanston, IL 60201 | 2018-06-22 |
| 1811481062 | Jeffrey D. Brow | Internal Medicine | 2650 Ridge Ave Rm 5315, Evanston, IL 60201 | 2018-06-20 |
| 1831687250 | Michael Patrick Murphy | Radiology | 807 Davis St. Unit 707, Evanston, IL 60201 | 2018-05-01 |
| Find all providers in zip 60201 | ||||
| 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 |
|---|---|---|---|---|
| 1033725114 | Sabrina D'haiti | Optometrist | 607 Oakton St, Evanston, IL 60202-5615 | 2020-09-23 |
| 1629508270 | Kevin Michael Pfeiffer | Optometrist | 2914 Central St Fl 1, Evanston, IL 60201-1237 | 2017-06-15 |
| 1164623229 | Paul Robert Barnard | Optometrist | 916 Main St, Evanston, WY 82930-3441 | 2007-05-29 |
| 1518007517 | William F Atkinson | Optometrist | 547 Cheyenne Dr, Evanston, WY 82930-5302 | 2007-02-07 |
| 1336299445 | Industrial Optical Service, Inc. | Optometrist | 522 Dempster St, Evanston, IL 60202-1303 | 2007-01-11 |
| 1083788335 | Frank E Rubin | Optometrist | 1962 Dempster St, Evanston, IL 60202-1016 | 2006-11-20 |
| 1629148804 | Rachana Suresh Patel-garud | Optometrist | 811 Church St, Evanston, IL 60201-3706 | 2006-11-08 |
| 1326153032 | Sanela Puskar | Optometrist | 2000 Central St, Evanston, IL 60201-2218 | 2006-08-20 |
| 1043220783 | Gina Marie Piper | Optometrist | 522 Dempster Ave., Evanston, IL 60202 | 2006-08-08 |
| 1356350540 | Yevgeny Grinman | Optometrist | 1013 Davis St, Evanston, IL 60201-3609 | 2006-08-05 |
| Find all providers in EVANSTON | ||||
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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.