INDUSTRIAL OPTICAL SERVICE, INC. (NPI# 1396895421) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1396895421 |
| Entity Type | Organization |
| Organization Name | INDUSTRIAL OPTICAL SERVICE, INC. |
| Other Organization Name | KENO OPTICAL |
| Practice Address |
29 E Madison St Suite 808 Chicago IL 60602-4404 |
| Mailing Address |
4418 W Diversey Ave Chicago IL 60639-1924 |
| Practice Telephone | 7737366800 |
| Mailing Telephone | 7737366800 |
| Enumeration Date | 2007-01-11 |
| Last Update Date | 2008-05-15 |
| Authorized Official Name | DANIEL LIEBERMAN (OPTOMETRIST) |
| Authorized Official Telephone | 7737366800 |
| Authorized Official Credential | O.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 152W00000X | Optometrist | IL | Eye and Vision Services Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IL | BCBS | 1636706 | 01 |
| IL | AETNA | 7235044 | 01 |
| Other Name | Type Code |
|---|---|
| Keno Optical | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528310885 | Industrial Optical Service, Inc. | Optometrist | 2555 W 75th St, Suite 119, Naperville, IL 60540-9441 | 2012-10-11 |
| 1518239847 | Industrial Optical Service, Inc. | Optometrist | 1407 N Milwaukee Ave, Chicago, IL 60622-2015 | 2012-02-01 |
| 1134362072 | Industrial Optical Service, Inc. | Optometrist | 1130 W Madison St, Chicago, IL 60607-2023 | 2009-04-08 |
| 1346390499 | Industrial Optical Service, Inc. | Optometrist | 507 S 3rd St, Suite F, Geneva, IL 60134-2730 | 2007-01-11 |
| 1851441968 | Industrial Optical Service, Inc. | Optometrist | 2316 N Clark St, Chicago, IL 60614-7760 | 2007-01-11 |
| 1609926732 | Industrial Optical Service, Inc. | Optometrist | 463 Central Ave, Highland Park, IL 60035-2622 | 2007-01-11 |
| 1336299445 | Industrial Optical Service, Inc. | Optometrist | 522 Dempster St, Evanston, IL 60202-1303 | 2007-01-11 |
| 1205986320 | Industrial Optical Service, Inc. | Optometrist | 50 E Chicago Ave, Chicago, IL 60611-2063 | 2007-01-11 |
| 1154471290 | Industrial Optical Service, Inc. | Optometrist | 8800 W Dempster St, Niles, IL 60714-5109 | 2007-01-11 |
| 1548589229 | Industrial Optical Service, Inc. | Optometrist | 4740 N Lincoln Ave, Chicago, IL 60625-2247 | 2010-05-20 |
| Street Address |
29 E MADISON ST SUITE 808 |
| City | CHICAGO |
| State | IL |
| Zip Code | 60602-4404 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033574942 | Myeyedr Optometry of Illinois, LLC | Optometrist | 29 E Madison St, Ste 808, Chicago, IL 60602-4404 | 2015-12-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710539705 | Biyang Wang | Social Worker | 9 W Washington St, Chicago, IL 60602 | 2019-07-10 |
| 1538724349 | Megan Asta Sarasek | Social Worker | 134 N Lasalle Street, Suite 400, Chicago, IL 60602 | 2019-05-07 |
| 1659850691 | Sara Chen | Dentist | 105 West Madison, 3rd Floor, Chicago, IL 60602 | 2018-08-10 |
| 1942795059 | Pratiti Rajeshkumar Gandhi | Dentist | 33 N Dearborn St Ste 2400, Chicago, IL 60602 | 2018-06-30 |
| 1154833994 | Ywca Metropolitan Chicago | Counselor | 1 North Lasalle Street, Suite 1150, Chicago, IL 60602 | 2017-11-02 |
| 1013434620 | Michelle Malters | Counselor | 30 N Michigan Ave Ste 1909, Chicago, IL 60602 | 2017-08-24 |
| 1740729474 | Jd Manikowski, D.d.s., LLC | Health Maintenance Organization | 30 N. Michigan Ave #1520, Chicago, IL 60602 | 2017-02-14 |
| 1568909943 | Pratiksha Agrawal | Dentist | 105 W Madison St Fl 3, Chicago, IL 60602 | 2017-01-24 |
| 1790221521 | Anastasia Scangas | Social Worker | 30 N Michigan Ave Ste 826, Chicago, IL 60602 | 2017-01-18 |
| 1194269837 | Jenna Peterson | Psychologist | 111 N Wabash Ave Ste 822, Chicago, IL 60602 | 2016-12-15 |
| Find all providers in zip 60602 | ||||
| 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 |
|---|---|---|---|---|
| 1790392587 | Adriana Casillas | Optometrist | 11129 S Avenue J, Chicago, IL 60617-6910 | 2020-09-25 |
| 1538778097 | Opt Vision | Optometrist | 5371 W Lawrence Ave Ste A, Chicago, IL 60630-3695 | 2020-07-30 |
| 1578180147 | Ortizii PC | Optometrist | 111 N Wabash Ave Ste 1111, Chicago, IL 60602-3119 | 2020-06-30 |
| 1588280358 | Iwona B. Lazarz | Optometrist | 6500 W Irving Park Rd Ste I, Chicago, IL 60634-2454 | 2020-06-17 |
| 1134741622 | Cvs Aoc Services, L.L.C. | Optometrist | 4051 North Lincoln, Store 8751, Chicago, IL 60618 | 2020-05-07 |
| 1154941367 | Sun Myung Park | Optometrist | 465 N Park Dr Apt 2203, Chicago, IL 60611-0008 | 2020-04-17 |
| 1578196341 | Steven K. Siu | Optometrist | 2719 S Princeton Ave Fl 1, Chicago, IL 60616-4883 | 2020-02-19 |
| 1235789884 | Courtney Bandemer | Optometrist | 3708 N Southport Ave, Chicago, IL 60613-6888 | 2019-09-16 |
| 1306493408 | Art of Sight Eyecare, LLC | Optometrist | 2915 N. Broadway, Chicago, IL 60657 | 2019-08-22 |
| 1154977759 | Keralyn Totten | Optometrist | 230 E Ohio St Ste 120, Chicago, IL 60611-3266 | 2019-08-11 |
| Find all providers in CHICAGO | ||||
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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.