BARTLETT VISION CENTER PC (NPI# 1477766699) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1477766699 |
| Entity Type | Organization |
| Organization Name | BARTLETT VISION CENTER PC |
| Practice Address |
211 S Main St Bartlett IL 60103-4456 |
| Practice Telephone | 6308379500 |
| Practice Fax Number | 6308379517 |
| Mailing Telephone | 6308379500 |
| Mailing Fax Number | 6308379517 |
| Enumeration Date | 2007-05-07 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | DR. KRISTINA GABRENYA (PRESIDENT AND PHYSICIAN) |
| Authorized Official Telephone | 6308379500 |
| 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 |
| Street Address |
211 S MAIN ST |
| City | BARTLETT |
| State | IL |
| Zip Code | 60103-4456 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700982915 | Kristina T Gabrenya | Optometrist | 211 S Main St, Bartlett, IL 60103-4456 | 2006-09-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467916593 | Nicole Taylor Gerdevich | Specialist/Technologist | 1302 Branden Lane, Bartlett, IL 60103 | 2019-01-23 |
| 1154817823 | Ada Oguejiofor | Registered Nurse | 269 Norway Drive, Bartlett, IL 60103 | 2018-07-06 |
| 1295153765 | Paul Alegro | Physical Therapy Assistant | 810 Seacrest Lane, Bartlett, IL 60103 | 2014-04-02 |
| 1184051211 | John Katsis | Dentist | 110 S. Oak Avenue, Bartlett, IL 60103 | 2013-10-03 |
| 1356786743 | Rajiv Puri PC | Dentist | 849 S Route 59, Bartlett, IL 60103 | 2013-04-30 |
| 1356786784 | Gilbert Noble Bael | Physical Therapist | 829 Carillon Drive, Bartlett, IL 60103 | 2013-04-29 |
| 1912282641 | Elaine S Tate | Pharmacist | 891 S. Route 59, Bartlett, IL 60103 | 2011-10-13 |
| 1104108968 | Sonal Vyas | Pharmacist | 891 S. Route 59, Bartlett, IL 60103 | 2011-09-16 |
| 1144502261 | Les Edward Wingert | Pharmacist | 891 South Route 59, Bartlett, IL 60103 | 2011-09-14 |
| 1629389564 | Hope Hebert | Counselor | 364 Sundance Drive, Bartlett, IL 60103 | 2010-06-25 |
| Find all providers in zip 60103 | ||||
| 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 |
|---|---|---|---|---|
| 1851808794 | Jennifer Willcox | Optometrist | 2744 Bartlett Blvd, Bartlett, TN 38134-4530 | 2017-12-31 |
| 1730537069 | Enrique Carlos Palacios | Optometrist | 6344 Mercury Cv, Bartlett, TN 38134-4669 | 2016-05-26 |
| 1124475793 | Chalise Lynne Francisco | Optometrist | 8350 Us Highway 64 Ste 101, Bartlett, TN 38133-4112 | 2016-05-24 |
| 1972758837 | Jeffrey Scott Walter | Optometrist | 6025 Stage Rd, Suite 44, Bartlett, TN 38134-8374 | 2008-11-19 |
| 1831358068 | Mid South Vision Center Pllc | Optometrist | 6025 Stage Rd Ste 44, Bartlett, TN 38134-8374 | 2008-06-03 |
| 1992851158 | David Hughes | Optometrist | 986 S Bartlett Rd, Bartlett, IL 60103-6500 | 2007-01-28 |
| 1467550806 | Caroline Lanette Cade | Optometrist | 8480 Highway 64, Bartlett, TN 38133 | 2006-09-20 |
| 1538185145 | Lori Elizabeth Kendrick | Optometrist | 2817 Bartlett Blvd, Bartlett, TN 38134-4529 | 2006-07-15 |
| 1215960240 | James M Yonkee | Optometrist | 1691 South Route 59, Bartlett, IL 60103 | 2006-07-10 |
| 1992770416 | Peter B Benvenuto | Optometrist | 2742 Bartlett Blvd., Bartlett, TN 38134-4530 | 2006-02-19 |
| Find all providers in BARTLETT | ||||
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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.