TEMMEN ADVANCED EYE CARE LLC (NPI# 1417169681) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417169681 |
| Entity Type | Organization |
| Organization Name | TEMMEN ADVANCED EYE CARE LLC |
| Practice Address |
1505 W Main Mt Zion IL 62549 |
| Practice Telephone | 2178643221 |
| Practice Fax Number | 2178643345 |
| Mailing Telephone | 2178643221 |
| Mailing Fax Number | 2178643345 |
| Enumeration Date | 2007-05-03 |
| Last Update Date | 2009-08-13 |
| Authorized Official Name | CAMDA M TEMMEN (OWNER) |
| Authorized Official Telephone | 2178643221 |
| Authorized Official Credential | OD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 152W00000X | Optometrist | 046008630 | IL | Eye and Vision Services Providers |
| Street Address |
1505 W MAIN |
| City | MT ZION |
| State | IL |
| Zip Code | 62549 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427209675 | Charles Howard Stone | Dentist | 108 Ashland Ave., Mt. Zion, IL 62549 | 2008-10-07 |
| 1730340498 | Jacob David Sams | Orthopaedic Surgery | 104 Ashland Ave., Mt. Zion, IL 62549 | 2008-06-24 |
| 1154511517 | Donald Nicholas Sullivan | Orthopaedic Surgery | 104 Ashland, Mt Zion, IL 62549 | 2007-07-31 |
| 1124160247 | Peter L Paulson | Dentist | 1465 East Village Parkway, Mount Zion, IL 62549 | 2007-02-13 |
| 1568563666 | Russell John Proesel | Dentist | 420 Broadway, Mt Zion, IL 62549 | 2006-09-25 |
| 1497789572 | Dennis Ryan Vaughn | Podiatrist | 1640 North State Highway 121, Mt. Zion, IL 62549 | 2006-07-11 |
| 1831605096 | International Eyecare Center Inc | Eyewear Supplier (Equipment, not the service) | 1505 W Main St, Mt Zion, IL 62549 | 2017-12-22 |
| 1336586114 | Decatur Orthopedic Center, LLC | Orthopaedic Surgery | 104 Ashland Ave., Mt. Zion, IL 62549 | 2013-06-03 |
| 1336284736 | Timothy Delbert Busey | Optometrist | 1505 W Main St, Mt Zion, IL 62549 | 2007-02-21 |
| 1174665285 | Julia A Paulson | Dentist | 1465 East Village Parkway, Mount Zion, IL 62549 | 2007-02-13 |
| Find all providers in zip 62549 | ||||
| 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 |
|---|---|---|---|---|
| 1700144029 | Ryan Scott Thoele | Optometrist | 1505 W Main St, Mt Zion, IL 62549-1300 | 2012-04-24 |
| 1336284736 | Timothy Delbert Busey | Optometrist | 1505 W Main St, Mt Zion, IL 62549 | 2007-02-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437750247 | Saida Samedova | Optometrist | 5255 Il-251, Peru, IL 61354 | 2020-11-06 |
| 1124627880 | Biren Patel | Optometrist | 1330 N Larkin Ave, Joliet, IL 60435-3765 | 2020-10-22 |
| 1790392587 | Adriana Casillas | Optometrist | 11129 S Avenue J, Chicago, IL 60617-6910 | 2020-09-25 |
| 1033725114 | Sabrina D'haiti | Optometrist | 607 Oakton St, Evanston, IL 60202-5615 | 2020-09-23 |
| 1164037495 | Brett David Freitag | Optometrist | 5006 Northwest Hwy, Crystal Lake, IL 60014-7339 | 2020-09-14 |
| 1164036786 | Deeti Patel | Optometrist | 9053 Hollyberry Ave, Des Plaines, IL 60016-4216 | 2020-09-01 |
| 1497368252 | Gca Optical LLC | Optometrist | 1520 N Rock Run Dr Ste 2, Crest Hill, IL 60403-3172 | 2020-08-30 |
| 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 |
| 1053938092 | Premier Vision Center LLC | Optometrist | 2809 Mansion Rd Ste A, Springfield, IL 62711-6811 | 2020-06-25 |
| Find all providers with the same taxonomy | ||||
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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.