NELLIE N PLUMMER (NPI# 1568717023) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1568717023 |
| Entity Type | Individual |
| Full Name | NELLIE N PLUMMER |
| Credential | O.D. |
| Practice Address |
20303 Crawford Ave Olympia Fields IL 60461-1073 |
| Practice Telephone | 7088981858 |
| Practice Fax Number | 7088981860 |
| Mailing Telephone | 7088981858 |
| Mailing Fax Number | 7088981860 |
| Enumeration Date | 2012-07-19 |
| Last Update Date | 2017-01-11 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 152W00000X | Optometrist | 046010603 | IL | Eye and Vision Services Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IL | MULTIPLAN | 8825444 | 01 |
| IL | AETNA | 7235044 | 01 |
| IL | BCBS | 1636706 | 01 |
| Street Address |
20303 CRAWFORD AVE |
| City | OLYMPIA FIELDS |
| State | IL |
| Zip Code | 60461-1073 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528172954 | Richard Floyd Multack | Ophthalmology | 20303 Crawford Ave, Suite Ll 1, Olympia Fields, IL 60461-1073 | 2006-08-19 |
| 1346745577 | Dr Snead and Associates Integrative Medicine Practice Inc | Clinic/Center | 20303 Crawford Ave, Olympia Fields, IL 60461-1073 | 2018-03-28 |
| 1710381181 | Kimberly Wicks | Nurse Practitioner | 20303 Crawford Ave, Suite 220, Olympia Fields, IL 60461-1073 | 2014-10-14 |
| 1851703367 | Connie Shyu | Physician Assistant | 20303 Crawford Ave, Suite 110, Olympia Fields, IL 60461-1073 | 2014-06-02 |
| 1588007629 | Diane L Egan | Nutritionist | 20303 Crawford Ave, Suite 220, Olympia Fields, IL 60461-1073 | 2013-04-08 |
| 1518215714 | Eve Health Center | Podiatrist | 20303 Crawford Ave, Suite 210, Olympia Fields, IL 60461-1041 | 2012-08-17 |
| 1851655989 | Multack Eye Care, S.c | Ophthalmology | 20303 Crawford Ave, Suite Ll1, Olympia Fields, IL 60461-1073 | 2012-07-04 |
| 1184904526 | Shifrin Group LLC | Ophthalmology | 20303 Crawford Ave, Ll1, Olympia Fields, IL 60461-1173 | 2011-08-17 |
| 1003110289 | Shirley Ann Golladay | Counselor | 20303 Crawford Ave, Suite 100, Olympia Fields, IL 60461-1073 | 2011-01-03 |
| 1659606895 | Kingdom Living Outreach Services, Inc | Community/Behavioral Health | 20303 Crawford Ave, Suite 100, Olympia Fields, IL 60461-1073 | 2009-10-06 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609372564 | Katherine Gill Haddad | Student in an Organized Health Care Education/Training Program | 20201 S. Crawford Avenue, Attn: Postdoctoral Education, Olympia Fields, IL 60461 | 2018-03-31 |
| 1750886610 | Kim Minh Dang | Student in an Organized Health Care Education/Training Program | 20201 South Crawford, Olympia Fields, IL 60461 | 2018-03-23 |
| 1619484110 | Alexandra N. Douvas | Dentist | 20180 Governors Hwy, Ste 104, Olympia Fields, IL 60461 | 2018-01-05 |
| 1992258438 | Krystyne Doty | Nurse Practitioner | 3800 W 203rd St Ste 209, Olympia Fields, IL 60461 | 2016-08-02 |
| 1205286747 | Shirlene Umali | Registered Nurse | 20201 South Crawford Ave, Olympia Fields, IL 60461 | 2016-06-15 |
| 1386002590 | Touch of Wholeness Psychological Services, LLC | Psychologist | 20280 Governors Dr, Suite 207, Olympia Fields, IL 60461 | 2016-02-02 |
| 1063895357 | David Dardick | Dentist | 20180 Governors Hwy Ste 104, Olympia Fields, IL 60461 | 2015-07-04 |
| 1811378623 | Fins Healthcare Agency | Nursing Care | 3612 Lincohn Highway, Suite 19, Olympia Fields, IL 60461 | 2015-06-17 |
| 1285048959 | Garud Ranga Raj | Orthopaedic Surgery | 20817 Alexander St, Olympia Fields, IL 60461 | 2014-06-20 |
| 1811316334 | Brett Hapeman | Emergency Medicine | 20201 S Crawford, Attn: Postdoctoral Education, Olympia Fields, IL 60461 | 2014-04-11 |
| Find all providers in zip 60461 | ||||
| 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 |
|---|---|---|---|---|
| 1790851806 | Southland Eye Associates PC | Optometrist | 19950 Governors Hwy, 2nd Floor, Olympia Fields, IL 60461 | 2006-11-28 |
| 1346269941 | Byron Wright | Optometrist | 3700 W 203rd St Ste 103, Olympia Fields, IL 60461-1181 | 2006-07-18 |
| 1093702300 | Laurie Lynn Collett | Optometrist | 3406 Vollmer Rd, Olympia Fields, IL 60461-1018 | 2005-10-03 |
| 1437609054 | Dr. Jeries Qtami & Associates Inc | Optometrist | 21000 Western Ave, Olympia Fields, IL 60461-1900 | 2016-10-06 |
| 1003133471 | Metropolitan Eyecare Center of Park Forest | Optometrist | 3406 Vollmer Rd, Olympia Fields, IL 60461-1018 | 2010-04-26 |
| 1841488095 | Louis L Lipschultz | Optometrist | 19950 Governors Hwy, 2nd Floor, Olympia Fields, IL 60461 | 2007-10-11 |
| 1750400503 | Metropolitan Eyecare | Optometrist | 3406 Vollmer Rd, Olympia Fields, IL 60461-1018 | 2007-03-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437750247 | Saida Samedova | Optometrist | 5255 Il-251, Peru, IL 61354 | 2020-11-06 |
| 1124627880 | Biren Patel | Optometrist | 1330 N Larkin Ave, Joliet, IL 60435-3765 | 2020-10-22 |
| 1790392587 | Adriana Casillas | Optometrist | 11129 S Avenue J, Chicago, IL 60617-6910 | 2020-09-25 |
| 1033725114 | Sabrina D'haiti | Optometrist | 607 Oakton St, Evanston, IL 60202-5615 | 2020-09-23 |
| 1164037495 | Brett David Freitag | Optometrist | 5006 Northwest Hwy, Crystal Lake, IL 60014-7339 | 2020-09-14 |
| 1164036786 | Deeti Patel | Optometrist | 9053 Hollyberry Ave, Des Plaines, IL 60016-4216 | 2020-09-01 |
| 1497368252 | Gca Optical LLC | Optometrist | 1520 N Rock Run Dr Ste 2, Crest Hill, IL 60403-3172 | 2020-08-30 |
| 1538778097 | Opt Vision | Optometrist | 5371 W Lawrence Ave Ste A, Chicago, IL 60630-3695 | 2020-07-30 |
| 1578180147 | Ortizii PC | Optometrist | 111 N Wabash Ave Ste 1111, Chicago, IL 60602-3119 | 2020-06-30 |
| 1053938092 | Premier Vision Center LLC | Optometrist | 2809 Mansion Rd Ste A, Springfield, IL 62711-6811 | 2020-06-25 |
| Find all providers with the same taxonomy | ||||
| City | OLYMPIA FIELDS |
| Zip Code | 60461 |
Please comment or provide details below to improve the information on NELLIE N PLUMMER.
| 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.