RACHEL BORAM PARK (NPI# 1427462431) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1427462431 |
| Entity Type | Individual |
| Full Name | RACHEL BORAM PARK |
| Credential | O.D. |
| Practice Address |
219 E Cole Ave Wheaton IL 60187-3107 |
| Practice Telephone | 3066907115 |
| Mailing Telephone | 3066907115 |
| Enumeration Date | 2014-06-17 |
| Last Update Date | 2020-03-30 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 152W00000X | Optometrist | 046010937 | IL | Eye and Vision Services Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IL | 046010937 | 05 | |
| IL | RAILROAD MEDICARE | P01665028 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528500295 | Rachel Park | Nutritionist | 2880 Woodflower St, Thousand Oaks, CA 91362-1173 | 2016-11-13 |
| 1720388820 | Rachel Jiyoung Park | Pharmacist | 13814 Outlet Dr, Silver Spring, MD 20904-4970 | 2010-10-24 |
| 1659832533 | Rachel Hee Young Park | Student in an Organized Health Care Education/Training Program | 1215 Lee St, Charlottesville, VA 22908-0816 | 2019-03-25 |
| 1083119598 | Rachel Park | Student in an Organized Health Care Education/Training Program | 1540 Alcazar St # 133, Los Angeles, CA 90089-0080 | 2018-03-27 |
| 1598291411 | Rachel Sohyung Park | Internal Medicine | 3300 Gallows Rd, Falls Church, VA 22042-3300 | 2017-05-11 |
| 1275935009 | Rachel Park | Nurse Practitioner | 1516 San Pablo St Fl 3, Los Angeles, CA 90033-5313 | 2014-09-24 |
| Street Address |
219 E COLE AVE |
| City | WHEATON |
| State | IL |
| Zip Code | 60187-3107 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033215447 | Spectrios Institute for Low Vision | Optometrist | 219 E Cole Ave, Wheaton, IL 60187 | 2006-09-15 |
| 1215407465 | Katrina Annalese Stratton | Occupational Therapist | 219 E Cole Ave, Wheaton, IL 60187-3107 | 2018-11-30 |
| 1306182134 | Gregg C. Pusateri | Optometrist | 219 E Cole Ave, Wheaton, IL 60187-3107 | 2012-12-26 |
| 1295815728 | Mary Fritz Jordan | Optometrist | 219 E Cole Ave, Wheaton, IL 60187 | 2006-10-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811510738 | Arielle Susan Kalvelage | Counselor | Central Public Health Center (cphc), 111 N. County Farm Road, Wheaton, IL 60187 | 2020-05-27 |
| 1801418363 | Peter Gerard Harvey | Acupuncturist | 200 East Willow Avenue, Suite 202, Wheaton, IL 60187 | 2020-05-07 |
| 1760028823 | Teresa Clasen | Counselor | 222 Willow Ave, Wheaton, IL 60187 | 2019-11-25 |
| 1821630757 | Eastern Healing Inc. | Acupuncturist | 200 E. Willow Ave., Suite 202, Wheaton, IL 60187 | 2019-10-11 |
| 1952816282 | Caprishea Jones | Counselor | 111 N County Farm Road, Wheaton, IL 60187 | 2017-12-08 |
| 1265880330 | Bryan Cairncross | Specialist/Technologist | 1503 Beecher Ave., Wheaton, IL 60187 | 2016-05-31 |
| 1811357544 | Patricia Diaz | Nurse Practitioner | 0n620 West Street, Wheaton, IL 60187 | 2016-02-23 |
| 1962819227 | Breakthrough Care Center | Clinic/Center | 150 E. Willow Ave, Ste 100, Wheaton, IL 60187 | 2014-07-18 |
| 1780005587 | Kyler Mulhauser | Counselor | 600 W. Roosevelt Rd, Suite A2, Wheaton, IL 60187 | 2013-12-20 |
| 1538593074 | Deborah Bates | Psychologist | 300 E Roosevelt Rd Ste 105, Wheaton, IL 60187 | 2013-08-31 |
| Find all providers in zip 60187 | ||||
| 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 |
|---|---|---|---|---|
| 1851827273 | Icare4vision LLC | Optometrist | 1231 Butterfield Rd, Wheaton, IL 60189-8809 | 2017-05-04 |
| 1861942781 | Eyes On Wheaton, LLC | Optometrist | 127 W Wesley St, Wheaton, IL 60187-5118 | 2016-10-04 |
| 1184923146 | Eyecare Associates of Wheaton LLC | Optometrist | 11160 Veirs Mill Rd., G1 Inside of Lenscrafters, Wheaton, MD 20902 | 2011-03-16 |
| 1467616235 | Danada Vision Center, LLC | Optometrist | 324 E Roosevelt Rd, Wheaton, IL 60187-5563 | 2008-07-11 |
| 1558562223 | 20 20 Vision LLC | Optometrist | 811 Butterfield Rd Ste 111, Wheaton, IL 60187-8602 | 2007-05-30 |
| 1487867768 | Shairoz A Fazal | Optometrist | 811 E.butterfield Road Ste 111, Wheaton, IL 60187 | 2007-05-07 |
| 1043335359 | David Ivor Kepner | Optometrist | 11193 Veirs Mill Rd, Wheaton, MD 20902-2534 | 2007-03-20 |
| 1831256171 | Natalie T Cepynsky | Optometrist | 1275 Butterfield Rd Ste 104, Wheaton, IL 60189-8849 | 2007-01-03 |
| 1750472593 | Conrad William Stoll | Optometrist | 214 W Front St, Wheaton, IL 60187-5111 | 2006-09-27 |
| 1699883033 | Christian G Burch | Optometrist | 115 Danada Sq E, Wheaton, IL 60189-2008 | 2006-08-27 |
| Find all providers in WHEATON | ||||
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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.