FOR EYES OPTICAL OF PA (NPI# 1407905581) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1407905581 |
| Entity Type | Organization |
| Organization Name | FOR EYES OPTICAL OF PA |
| Other Organization Name | FOR EYES |
| Practice Address |
2057 N Clybourn Ave Chicago IL 60614-4003 |
| Mailing Address |
3601 Sw 160th Ave Ste 400 Miramar FL 33027-6312 |
| Practice Telephone | 7734470983 |
| Practice Fax Number | 7734474380 |
| Mailing Telephone | 3055579004 |
| Enumeration Date | 2007-01-09 |
| Last Update Date | 2020-02-21 |
| NPI Deactivation Date | 07/15/2013 |
| NPI Reactivation Date | 2013-08-01 |
| Authorized Official Name | KIM GRIFFIN (MANAGER) |
| Authorized Official Telephone | 3055579004 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 332H00000X | Eyewear Supplier (Equipment, not the service) | Suppliers |
| Other Name | Type Code |
|---|---|
| For Eyes | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417412842 | For Eyes Optical of Pa | Optometrist | 1300-a Worcester St, Sherwood Plaza, Plaza Suite 11, Natick, MA 01760 | 2019-02-11 |
| 1841764669 | For Eyes Optical of Pa | Optometrist | 1211 W Lancaster Ave, Rosemont, PA 19010 | 2019-01-15 |
| 1497229215 | For Eyes Optical of Pa | Optometrist | 17 W 412-414 22nd St, Ste M&n, Oakbrook Terrace, IL 60181 | 2019-01-15 |
| 1710451539 | For Eyes Optical of Pa | Optometrist | 186 West Street Road, Feasterville, PA 19053 | 2019-01-15 |
| 1770057762 | For Eyes Optical of Pa | Optometrist | 271 W Townline Rd Ste 120, Vernon Hills, IL 60061-4333 | 2019-01-14 |
| 1588138457 | For Eyes Optical of Pa | Optometrist | 10010 Reisterstown Rd Ste 46, Owings Mills, MD 21117-4158 | 2019-01-14 |
| 1205310299 | For Eyes Optical of Pa | Eyewear Supplier (Equipment, not the service) | 610 Cross Keys Rd, Sicklerville, NJ 08081-9580 | 2018-09-17 |
| 1487143400 | For Eyes Optical of Pa | Eyewear Supplier (Equipment, not the service) | 7984 Honeygo Blvd, Nottingham, MD 21236 | 2018-05-04 |
| 1255523411 | For Eyes Optical of Pa | Eyewear Supplier (Equipment, not the service) | 2 Wayside Rd, Unit 2g, Burlington, MA 01803 | 2007-08-13 |
| 1962613893 | For Eyes Optical of Pa | Eyewear Supplier (Equipment, not the service) | 271 West Townline Rd, Unit 120, Vernon Hills, IL 60061 | 2007-05-24 |
| Street Address |
2057 N CLYBOURN AVE |
| City | CHICAGO |
| State | IL |
| Zip Code | 60614-4003 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275618589 | Joy H. Goffron-kluge | Optometrist | 2057 N Clybourn Ave, Chicago, IL 60614-4003 | 2006-10-26 |
| 1174020556 | Dawn M Lee, Od, LLC | Clinic/Center | 2057 N Clybourn Ave, Chicago, IL 60614-4003 | 2018-04-11 |
| 1457416844 | Eve N. Arnold | Optometrist | 2057 N Clybourn Ave, Chicago, IL 60614-4003 | 2006-12-26 |
| 1225199565 | Dawn M. Lee | Optometrist | 2057 N Clybourn Ave, Chicago, IL 60614-4003 | 2006-12-12 |
| 1700946712 | For Eyes | Optometrist | 2057 N Clybourn Ave, Chicago, IL 60614-4003 | 2006-12-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487266516 | Taylor Connington | Pharmacist | 843 W Armitage Ave, Chicago, IL 60614 | 2020-08-19 |
| 1356975692 | Amarilis Diaz | Social Worker | Terry Hefter Associates, LLC, 1731 N. Marcey Suite 535, Chicago, IL 60614 | 2020-02-25 |
| 1457902975 | Michele Waggoner | Physical Therapist | 2515 N. Clark St, Chicago, IL 60614 | 2019-09-25 |
| 1669031936 | Justin Pomeroy | Acupuncturist | 1350 W. Schubert Ave., Chicago, IL 60614 | 2019-06-11 |
| 1801451547 | Amanda Harris | Counselor | 2451 N Lincoln Ave # 206, Chicago, IL 60614 | 2019-05-08 |
| 1780164574 | Danielle Trokey | Psychiatry & Neurology | 2515 N Clark St Ste 801, Chicago, IL 60614 | 2018-08-21 |
| 1841707353 | Madison Counseling Solutions LLC | Social Worker | 2502 N. Clark St., Chicago, IL 60614 | 2018-01-05 |
| 1386154011 | Allison Cooper Boyan | Occupational Therapist | 1640 N. Wells St., Unit 103, Chicago, IL 60614 | 2017-10-09 |
| 1245759653 | Eileen Davidson Siegel | Physician Assistant | 2073 N. Clybourn Ave., Chicago, IL 60614 | 2017-09-18 |
| 1447779814 | Elizabeth Hobart | Psychologist | 1800 W. Diversey Pkwy, Unit H, Chicago, IL 60614 | 2017-09-16 |
| Find all providers in zip 60614 | ||||
| Taxonomy Code | 332H00000X |
| Grouping | Suppliers |
| Classification | Eyewear Supplier (Equipment, not the service) |
| An organization that provides spectacles, contact lenses, and other vision enhancement devices prescribed by an optometrist or ophthalmologist. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972129294 | Luxottica Retail North America, Inc | Eyewear Supplier (Equipment, not the service) | 900 W North Ave, Chicago, IL 60642-2506 | 2020-06-23 |
| 1710512488 | Glasses On Oak St | Eyewear Supplier (Equipment, not the service) | 900 N Michigan Ave Fl 5, Chicago, IL 60611-1542 | 2020-03-03 |
| 1518526789 | Jand. Inc. | Eyewear Supplier (Equipment, not the service) | 851 W Randolph St Spc 2, Chicago, IL 60607-2310 | 2019-06-11 |
| 1679037642 | Jand. Inc. | Eyewear Supplier (Equipment, not the service) | 135 S Lasalle St, Chicago, IL 60603 | 2019-01-24 |
| 1346713344 | Fullerton Vision LLC | Eyewear Supplier (Equipment, not the service) | 4959 W Fullerton Ave, Chicago, IL 60639-2505 | 2019-01-02 |
| 1386127892 | Jand. Inc. | Eyewear Supplier (Equipment, not the service) | 3432 N Southport Ave, Chicago, IL 60657-8289 | 2018-09-11 |
| 1073020335 | Luxury Eyesight, LLC | Eyewear Supplier (Equipment, not the service) | 1457 N Halsted St Unit B101, Chicago, IL 60642-2676 | 2018-01-08 |
| 1023535382 | Jand. Inc. | Eyewear Supplier (Equipment, not the service) | 1123 N State St, Chicago, IL 60610-2717 | 2017-08-28 |
| 1972020238 | Jand. Inc. | Eyewear Supplier (Equipment, not the service) | 851 W Armitage Ave, Chicago, IL 60614-4328 | 2017-08-28 |
| 1528503042 | Luxottica of America Inc. | Eyewear Supplier (Equipment, not the service) | 908 North State Street, Chicago, IL 60610 | 2016-12-20 |
| Find all providers in CHICAGO | ||||
Please comment or provide details below to improve the information on FOR EYES OPTICAL OF PA.
| 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.