95TH VISION CENTER LLC (NPI# 1487203980) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1487203980 |
| Entity Type | Organization |
| Organization Name | 95TH VISION CENTER LLC |
| Practice Address |
3541 W 95th St Evergreen Park IL 60805-2135 |
| Practice Telephone | 7084254162 |
| Mailing Telephone | 7084254162 |
| Enumeration Date | 2019-09-06 |
| Last Update Date | 2019-09-06 |
| Authorized Official Name | DR. SAMIR PATEL (OWNER) |
| Authorized Official Telephone | 7084827744 |
| Authorized Official Credential | O.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 152W00000X | Optometrist | Eye and Vision Services Providers |
| Other Name | Type Code |
|---|---|
| Pearle Vision | Doing Business As Name - Organization |
| Street Address |
3541 W 95TH ST |
| City | EVERGREEN PARK |
| State | IL |
| Zip Code | 60805-2135 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972693489 | Bruce Terry Katz | Optometrist | 3541 W 95th St, Evergreen Park, IL 60805-2135 | 2006-10-13 |
| 1891116406 | John Szczepaniak | Optometrist | 3541 W 95th St, Evergreen Park, IL 60805-2135 | 2013-12-27 |
| 1225351471 | Gel M Gowin,inc. | Eyewear Supplier (Equipment, not the service) | 3541 W 95th St, Evergreen Park, IL 60805-2135 | 2010-03-02 |
| 1821132515 | Angelita M Gowin | Technician/Technologist | 3541 W 95th St, Evergreen Park, IL 60805-2135 | 2007-02-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487254603 | Cynthia Nicole Bucio | Pharmacist | 9400 S. Western, Evergreen Park, N/A 60805 | 2020-10-27 |
| 1124530456 | Foundations Counseling, LLC | Social Worker | 9730 S Western Ave Ste 215, Evergreen Park, IL 60805 | 2017-10-26 |
| 1184147886 | Luke Blaeser | Specialist/Technologist | 2856 W. 97th Pl., Evergreen Park, IL 60805 | 2017-07-25 |
| 1396193322 | Daniel Joseph Bierbaum Howard | Emergency Medicine | 2800 95th St, Emergency Department, Evergreen Park, IL 60805 | 2016-05-31 |
| 1588037873 | Lcr Primary Care LLC | Exclusive Provider Organization | 9237 S.pulaski, Ste. 2s, Evergreen Park, IL 60805 | 2015-11-09 |
| 1447639091 | Nancy Sanchez | Social Worker | 9832 S Utica Ave, Evergreen Park, IL 60805 | 2015-05-28 |
| 1629334743 | Harshad M. Mehta Md Sc | Psychiatry & Neurology | 2850 W. 95th Street, Suite 206, Evergreen Park, IL 60805 | 2012-04-03 |
| 1235407305 | Victoria T Adesina | Pharmacist | 8700 South Kedzie Ave, Evergreen Park, IL 60805 | 2011-12-05 |
| 1891072922 | Zahia-lena Refat Hussien | Pharmacist | 8700 S. Kedzie Ave, Evergreen Park, IL 60805 | 2011-11-03 |
| 1891079091 | Denise Adams | Occupational Therapy Assistant | 9217 S. Kedzie, Evergreen Park, IL 60805 | 2011-10-06 |
| Find all providers in zip 60805 | ||||
| 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 |
|---|---|---|---|---|
| 1184869927 | Emily R Konczal | Optometrist | 9500 S Western Ave Ste G3a, Evergreen Park, IL 60805-2868 | 2008-12-09 |
| 1518030154 | Maria Anne Moore | Optometrist | 9500 S Western Ave, Ste G3a, Evergreen Park, IL 60805-2856 | 2006-11-15 |
| 1972693489 | Bruce Terry Katz | Optometrist | 3541 W 95th St, Evergreen Park, IL 60805-2135 | 2006-10-13 |
| 1912965823 | Mark Douglas Wilmoth | Optometrist | 9400 S Western Ave, Evergreen Park, IL 60805-2509 | 2006-05-02 |
| 1538683958 | Bobby Rajkumar Singh | Optometrist | 2500 W 95th St, Evergreen Park, IL 60805-2807 | 2017-07-27 |
| 1891116406 | John Szczepaniak | Optometrist | 3541 W 95th St, Evergreen Park, IL 60805-2135 | 2013-12-27 |
| 1831415702 | Micaela Toledo | Optometrist | 9400 S Western Ave, Evergreen Park, IL 60805-2509 | 2010-04-15 |
| 1669624052 | Jenny Y Park | Optometrist | 9500 S Western Ave, Evergreen Plaza #g3a, Evergreen Park, IL 60805-2856 | 2008-10-16 |
| 1629267976 | Rasa Tamulavichus Od PC | Optometrist | 2500 W 95th St, Walmart Vision Center, Evergreen Park, IL 60805-2807 | 2007-10-22 |
| 1427148725 | Rasa Tamulavichus | Optometrist | 2500 W 95th St, Walmart Vision Center, Evergreen Park, IL 60805-2807 | 2006-10-15 |
| Find all providers in EVERGREEN PARK | ||||
| City | EVERGREEN PARK |
| Zip Code | 60805 |
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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.