DR. LYNN A WOLLENBERG


Address: 700 N Side Sq, Clinton, IL 61727-1657
Phone: 2179356309

DR. LYNN A WOLLENBERG (NPI# 1679514038) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1679514038
Entity Type Individual
Full Name DR. LYNN A WOLLENBERG
Credential O.D.
Practice Address 700 N Side Sq
Clinton
IL 61727-1657
Practice Telephone 2179356309
Practice Fax Number 2179353612
Mailing Telephone 2179356309
Mailing Fax Number 2179353612
Enumeration Date 2006-06-09
Last Update Date 2009-01-21
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 152W00000X Optometrist 046-008234 IL Eye and Vision Services Providers

Other Provider Identifier

State Issuer Identifier Type Code
IL BLUE CROSS BLUE SHIELD 01584010 01

Office Location

Street Address 700 N SIDE SQ
City CLINTON
State IL
Zip Code 61727-1657

Providers in the same location

NPI Name Taxonomy Address Enumeration
1063928588 Prairie Eye Center Ltd Optometrist 700 N Side Sq, Clinton, IL 61727-1657 2017-12-20

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1144692393 Complete Wellness and Integrative Health Center Ltd General Practice 211 E Quincy St, Clinton, IL 61727 2015-10-28
1124247507 Clinton Unit School District 15 Local Education Agency (LEA) 1210 State Route 54 West, Clinton, IL 61727 2007-04-24
1578600615 Dewitt County Human Resource Center Clinic/Center 1150 Rt 54 West, Clinton, IL 61727 2007-01-30
1164569265 Kara Lynn Johnson Case Manager/Care Coordinator 1150 Route 54 West, Clinton, IL 61727 2007-01-30
1659474328 Highland Park Cvs, L.L.C. Pharmacy 60 Clinton Plz Sc, Clinton, IL 61727 2006-09-07
1528095510 St. Joseph Medical Center Nurse Practitioner 1231 Kleeman Dr., Clinton, IL 61727 2006-06-27
1588652044 Residential Alternatives of Illinois Inc Skilled Nursing Facility 1 Park Lane West, Clinton, IL 61727 2005-10-10
1629218466 Olympian Surgical Suites LLC Clinic/Center 803 Illini Dr, Clinton, IL 61727 2009-03-05
1023238920 Sara Ann Holmes Case Manager/Care Coordinator 1150 Route 54 West, Clinton, IL 61727 2007-04-26
1740327881 Cory William Baxter Counselor 1150 Route 54 West, Clinton, IL 61727 2007-01-30
Find all providers in zip 61727

Taxonomy Information

Taxonomy Code 152W00000X
Grouping Eye and Vision Services Providers
Classification Optometrist

Taxonomy Definition

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]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1104443159 National Vision Inc Optometrist 1917 W 1800 N Ste D1, Clinton, UT 84015-8558 2020-06-25
1871041707 Megan Claire Mannen Optometrist 1448 N 2000 W Ste 3, Clinton, UT 84015 2016-09-20
1609231752 Steven D. Elliott, O.d. & Associates, Inc. Optometrist 2681 Andersonville Hwy Ste 101, Clinton, TN 37716-6706 2015-12-16
1558737197 Spectrum Eye Care Solutions,llc Optometrist 5054 Williamson Rd, Clinton, MS 39056-9413 2015-08-18
1245621978 Ija Development Firm LLC Optometrist 123a Highway 80 E, Clinton, MS 39056-4738 2015-02-17
1336427822 Capitaleyes, Inc Optometrist 929 Highway 80 E, Clinton, MS 39056-5246 2011-08-01
1093955262 Tonya Cannon Stewart, Od, Pllc Optometrist 45 West Lakeview Drive, Clinton, MS 39056-5221 2009-03-02
1366605396 Gene L Christensen Optometrist 1632 N 2000w, Clinton, UT 84015 2008-07-09
1164619094 Ray N Labelle Optometrist 106 Indian Hills Cir, Clinton, TN 37716-6562 2007-09-25
1144422577 Optical 2000 Optometrist 815 Highway 80 E, Clinton, MS 39056-5252 2007-06-05
Find all providers in CLINTON

Competitor

Search similar providers

City CLINTON
Zip Code 61727

Improve Information

Please comment or provide details below to improve the information on DR. LYNN A WOLLENBERG.

Dataset Information

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.

Trending Searches