MR. ALLEN BRUCE SIMON (NPI# 1497945430) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1497945430 |
| Entity Type | Individual |
| Full Name | MR. ALLEN BRUCE SIMON |
| Credential | OD |
| Practice Address |
4709 Golf Rd Tower 2 12th Fl Myers Wyse Center for The Eye Skokie IL 60076 |
| Practice Telephone | 8473282020 |
| Practice Fax Number | 8473280523 |
| Mailing Telephone | 8473282020 |
| Mailing Fax Number | 8473280523 |
| Enumeration Date | 2007-07-26 |
| Last Update Date | 2007-07-26 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 152W00000X | Optometrist | IL | Eye and Vision Services Providers | |
| N | 152WC0802X |
Optometrist Specialization: Corneal and Contact Management |
IL | Eye and Vision Services Providers |
| Street Address |
4709 GOLF RD TOWER 2 12TH FL MYERS WYSE CENTER FOR THE EYE |
| City | SKOKIE |
| State | IL |
| Zip Code | 60076 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184619785 | Harry M Goldin | Specialist | 4709 Golf Rd, 1000, Skokie, IL 60076-1231 | 2005-09-20 |
| 1902339369 | Abt Dental Associates LLC | Dentist | 4709 Golf Rd, Ste 1005, Skokie, IL 60076-1231 | 2017-04-04 |
| 1932642238 | Patrick Rice | Physician Assistant | 4709 Golf Rd, Skokie, IL 60076-1231 | 2016-11-18 |
| 1861862344 | Maximilian Reinke | Physical Therapist | 4709 Golf Rd, Suite 1200, Skokie, IL 60076-1231 | 2015-09-28 |
| 1811371990 | Orthopaedics & Rheumatology of The North Shore | Clinic/Center | 4709 Golf Rd, Suite 1200, Skokie, IL 60076-1231 | 2015-07-17 |
| 1952793739 | Retina Care, LLC | Ophthalmology | 4709 Golf Rd, Suite 117, Skokie, IL 60076-1231 | 2015-03-03 |
| 1114325792 | Beth Funk, Psy.d, LLC | Psychologist | 4709 Golf Rd, Ste 1150, Skokie, IL 60076-1231 | 2014-12-12 |
| 1548667165 | Orthopaedics of The North Shore | Internal Medicine | 4709 Golf Rd, Suite 1200, Skokie, IL 60076-1231 | 2014-11-25 |
| 1841600020 | Ashley Drew Kauffman | Dentist | 4709 Golf Rd, Suite 1005, Skokie, IL 60076-1231 | 2014-04-28 |
| 1245669076 | Carolyn A. Barsano, Psy. D. LLC | Psychologist | 4709 Golf Rd, Suite 1150, Skokie, IL 60076-1231 | 2013-11-02 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902456999 | Gateway Foundation, Inc | Clinic/Center | 4028 W. Dempster, Ste 100, Skokie, IL 60076 | 2019-09-12 |
| 1336798255 | Renee Rosenberg | Speech-Language Pathologist | C/o East Prairie School, 7616 N. East Prairie Road, Skoke, IL 60076 | 2019-09-04 |
| 1710531223 | Dw Care Solutions | Hospice Care, Community Based | 4556 Oakton St, Suite 205, Skokie, IL 60076 | 2019-08-01 |
| 1689228157 | Elaine Ng | Pharmacist | 9650 Gross Point Rd Suite 4900, Skokie, IL 60076 | 2019-08-01 |
| 1881169381 | Kathleen Pyles | Registered Nurse | 9650 Gross Point Rd # 4900, Skokie, IL 60076 | 2018-10-10 |
| 1174013452 | Vitae Health of Illinois LLC | Social Worker | 3450 Oakton St, Skokie, IL 60076 | 2018-05-13 |
| 1396253530 | Jodi Novick Okner | Social Worker | 9134 Kilbourn Avenue, Skokie, IL 60076 | 2018-01-22 |
| 1700335924 | Olumide Adeyemo | Nurse Practitioner | 4711 Golf Rd Suite 1250, Skokie, IL 60076 | 2016-09-28 |
| 1255705315 | Malka Rokach | Pharmacist | 3358 W Touhy, Skokie, IL 60076 | 2015-11-30 |
| 1578932620 | Katrina Margaret Keithley | Physician Assistant | 9669 Kenton Ave Ste 203, Skokie, IL 60076 | 2015-09-18 |
| Find all providers in zip 60076 | ||||
| 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 |
|---|---|---|---|---|
| 1871119859 | Stacy Olswang | Optometrist | 8707 Skokie Blvd Ste 308, Skokie, IL 60077-2281 | 2020-06-24 |
| 1750945408 | Rosin Optical Co. Inc. | Optometrist | 8035 Lincoln Ave, Skokie, IL 60077-3612 | 2019-04-29 |
| 1013206531 | Gittele Optical Inc. | Optometrist | 3455a Dempster St, Skokie, IL 60076-2455 | 2011-04-05 |
| 1790914992 | Lyudmila P Podberezin | Optometrist | 3455 Dempster St, Skokie, IL 60076-2455 | 2009-07-08 |
| 1285804369 | Eddy Skokie Optical Inc | Optometrist | 8035 N Lincoln Ave, Skokie, IL 60077-3612 | 2008-03-05 |
| 1457576233 | Bruce Ira Gaynes | Optometrist | 8300 Knox Ave, Skokie, IL 60076-2669 | 2007-04-16 |
| 1174748032 | See Inc | Optometrist | 350 Old Orchard, Skokie, IL 60077 | 2007-04-16 |
| 1245367853 | Irene Kats | Optometrist | 7151 Central Ave, Skokie, IL 60077-3275 | 2007-02-28 |
| 1972651636 | Adalina Kulbak | Optometrist | 9436 Karlov Ave, Skokie, IL 60076-1417 | 2007-01-08 |
| 1730251612 | Nancy J Casper | Optometrist | 9450 Skokie Blvd, Skokie, IL 60077-1311 | 2006-11-15 |
| Find all providers in SKOKIE | ||||
Please comment or provide details below to improve the information on MR. ALLEN BRUCE SIMON.
| 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.