FOR EYES OPTICAL CO OF PENNYSYLVANIA (NPI# 1508941063) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1508941063 |
Entity Type | Organization |
Organization Name | FOR EYES OPTICAL CO OF PENNYSYLVANIA |
Other Organization Name | FOR EYES OPTICAL |
Practice Address |
1492 S Randall Rd Ste G Geneva IL 60134-4614 |
Mailing Address |
3601 Sw 160th Ave Ste 400 Miramar FL 33027-6312 |
Practice Telephone | 6302324545 |
Practice Fax Number | 6302326125 |
Mailing Telephone | 3055579004 |
Enumeration Date | 2006-10-25 |
Last Update Date | 2020-02-26 |
NPI Deactivation Date | 07/11/2013 |
NPI Reactivation Date | 2013-08-01 |
Authorized Official Name | KIM GRIFFIN (MANAGER) |
Authorized Official Telephone | 3055579004 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 332H00000X | Eyewear Supplier (Equipment, not the service) | Suppliers |
Other Name | Type Code |
---|---|
FOR EYES OPTICAL | Doing Business As Name - Organization |
Street Address |
1492 S RANDALL RD STE G |
City | GENEVA |
State | IL |
Zip Code | 60134-4614 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1902403918 | Glenda Creighton | Physical Therapist | 0n 801 Friendship Way, Geneva, IL 60134 | 2020-10-02 |
1467912212 | Cierra Monae French | Family Medicine | Northwestern Medicine Delnor Hospital, 300 Randall Road, Geneva, IL 60134 | 2019-03-20 |
1497246227 | Linda Huber | Psychologist | 1541 E Fabyan Pkwy Ste 101, Geneva, IL 60134 | 2018-05-29 |
1003305459 | Nicole Collins | Specialist/Technologist | 1125 Lewis Road, Geneva, IL 60134 | 2018-05-01 |
1013438704 | Emily Byars | Clinic/Center | 1111 Greenfield Circle, Geneva, IL 60134 | 2017-07-03 |
1982142980 | Samantha Courtney | Counselor | 1120 Randall Ct., Geneva, IL 60134 | 2017-02-09 |
1073055026 | Physical Rehabilitation Clinics | Physical Therapist | 507 S. 3rd St. Unit I, Geneva, IL 60134 | 2016-11-08 |
1265868707 | Gina Marie Gilchrist | Dietitian, Registered | 39w479 W Haladay Ln, Geneva, IL 60134 | 2013-09-16 |
1770823585 | William A. Goodfellow | General Practice | 1010 S. Batavia Ave., Geneva, IL 60134 | 2013-02-15 |
1467705392 | Kylie L Mack | Physician Assistant | 351 Delnor Dr #100, Geneva, IL 60134 | 2012-10-16 |
Find all providers in zip 60134 |
Taxonomy Code | 332H00000X |
Grouping | Suppliers |
Classification | Eyewear Supplier (Equipment, not the service) |
An organization that provides spectacles, contact lenses, and other vision enhancement devices prescribed by an optometrist or ophthalmologist. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1396913257 | Family Vision Care, LLC | Eyewear Supplier (Equipment, not the service) | 607 S Commerce St, Geneva, AL 36340-2410 | 2008-02-13 |
1871552521 | Harold S. Ross, M.d., P.C. | Eyewear Supplier (Equipment, not the service) | 738 Pre Emption Rd, Geneva, NY 14456-1336 | 2006-03-21 |
1497093819 | Strong Optical Shop | Eyewear Supplier (Equipment, not the service) | 738 Pre Emption Rd, Geneva, NY 14456-1336 | 2013-01-18 |
1437328945 | J. Kent Maurer, Od | Eyewear Supplier (Equipment, not the service) | 749 Pre Emption Rd, Geneva, NY 14456-1335 | 2008-02-28 |
1487823571 | Daniel C. Drought O.d. Inc | Eyewear Supplier (Equipment, not the service) | 895 S Broadway, Geneva, OH 44041-9146 | 2008-02-22 |
1275671778 | Richard R Stout Md Pllc | Eyewear Supplier (Equipment, not the service) | 70 Mason St, Geneva, NY 14456-1104 | 2007-02-05 |
1801934526 | Harold S Ross Md PC | Eyewear Supplier (Equipment, not the service) | 738 Pre Emption Rd, Geneva, NY 14456-1336 | 2007-02-02 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1174138168 | Shoptikal LLC | Eyewear Supplier (Equipment, not the service) | 1550 W Lane Rd, Machesney Park, IL 61115-1903 | 2020-09-15 |
1588279566 | Shoptikal LLC | Eyewear Supplier (Equipment, not the service) | 1190 S Randall Rd Ste 104, Elgin, IL 60123-4110 | 2020-09-15 |
1972129294 | Luxottica Retail North America, Inc | Eyewear Supplier (Equipment, not the service) | 900 W North Ave, Chicago, IL 60642-2506 | 2020-06-23 |
1710512801 | Shoptikal LLC | Eyewear Supplier (Equipment, not the service) | 9940 Rt 47, Huntley, IL 60142 | 2020-03-09 |
1710512488 | Glasses On Oak St | Eyewear Supplier (Equipment, not the service) | 900 N Michigan Ave Fl 5, Chicago, IL 60611-1542 | 2020-03-03 |
1861026890 | Luxottica of America Inc. | Eyewear Supplier (Equipment, not the service) | 5300 Northwest Hwy, Crystal Lake, IL 60014-8072 | 2020-02-28 |
1952935181 | Jand. Inc. | Eyewear Supplier (Equipment, not the service) | 4999 Old Orchard Ctr Ste J4, Skokie, IL 60077-1450 | 2020-02-26 |
1194355917 | Fr Vision 360, Inc. | Eyewear Supplier (Equipment, not the service) | 111 E Morton Ave, Jacksonville, IL 62650-3059 | 2020-01-21 |
1114567443 | Shoptikal LLC | Eyewear Supplier (Equipment, not the service) | 6215 Northwest Hwy, Crystal Lake, IL 60014-7932 | 2020-01-15 |
1841833399 | Luxottica of America Inc. | Eyewear Supplier (Equipment, not the service) | Milwaukee Ave & E Towline Rd #e1600, Vernon Hills, IL 60061 | 2019-10-28 |
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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.