DR. ERIK DUANE BURGWALD (NPI# 1689644684) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1689644684 |
| Entity Type | Individual |
| Full Name | DR. ERIK DUANE BURGWALD |
| Credential | OD |
| Practice Address |
1711 S Neil St Champaign IL 61820 |
| Practice Telephone | 2173592390 |
| Practice Fax Number | 2173593180 |
| Mailing Telephone | 2173592390 |
| Mailing Fax Number | 2173593180 |
| Enumeration Date | 2006-01-24 |
| Last Update Date | 2015-07-31 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 152W00000X | Optometrist | 046008644 | IL | Eye and Vision Services Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IL | DPR | 346000884 | 01 |
| IL | DPR | 046008649 | 01 |
| Street Address |
1711 S NEIL ST |
| City | CHAMPAIGN |
| State | IL |
| Zip Code | 61820 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912271487 | Hearing Professionals of America LLC | Hearing Aid Equipment | 1711 S Neil St, Champaign, IL 61820-7298 | 2012-03-01 |
| 1912101940 | Alexander Chiropractic Care Clinic | Chiropractor | 1711 S Neil St, Champaign, IL 61820-7298 | 2007-06-13 |
| 1376672998 | Jones Optical Inc | Optometrist | 1711 S Neil St, Champaign, IL 61820-7298 | 2007-03-02 |
| 1205925492 | Ray D. Alexander | Chiropractor | 1711 S Neil St, Champaign, IL 61820-7298 | 2006-10-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982217345 | Costco Wholesale Corporation | Pharmacy | 2002 N. Neil St., Champaign, IL 61820 | 2020-08-26 |
| 1255963583 | Jamey Richard Bailey | Social Worker | 701 Devonshire Drive, Bldg C, Suite 206, C-6, Champaign, IL 61820 | 2020-02-05 |
| 1790247443 | Jason Abrams | Counselor | 201 W Springfield Ave., Suite 1002-1003, Champaign, IL 61820 | 2019-04-02 |
| 1184100273 | Janine Rafferty | Pharmacist | 2002 N Neil St, Champaign, IL 61820 | 2018-07-12 |
| 1417475070 | Brodbeck Counseling, PC | Community/Behavioral Health | 301 N. Neil Street Suite 323, Champaign, IL 61820 | 2017-09-05 |
| 1447773726 | Quanata M Pelmore | Nurse's Aide | 508 E. Vine St, Champaign, IL 61820 | 2017-07-19 |
| 1821518127 | Molly Mclay | Social Worker | 309 W Clark St., Champaign, IL 61820 | 2017-06-27 |
| 1396265849 | Lou Echols Chambers | Audiologist | 901 South Sixth Street, Chamapign, IL 61820 | 2017-06-26 |
| 1962874495 | Luciana Angelica Guardini | Social Worker | 100 North Chestnut Street, Suite 244, Champaign, IL 61820 | 2015-10-23 |
| 1538544465 | Cpo Services, Inc. | Prosthetic/Orthotic Supplier | 410 E University Ave Ste 105, Champaign, IL 61820 | 2015-07-21 |
| Find all providers in zip 61820 | ||||
| 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 |
|---|---|---|---|---|
| 1649601543 | Jeff Chu | Optometrist | 507 W. Town Center Blvd, Champaign, IL 61822 | 2013-12-03 |
| 1801142351 | Jeffrey Lewis | Optometrist | 507 W Town Center Blvd, Champaign, IL 61822-1248 | 2012-08-01 |
| 1750616132 | The Eye Center | Optometrist | 403 Windsor Rd, Champaign, IL 61820-7722 | 2009-10-02 |
| 1235257544 | Sara Jo Meyer | Optometrist | 2008 Round Barn Rd, Champaign, IL 61821-3623 | 2007-03-26 |
| 1619013117 | Kelly Alice Sanders | Optometrist | 518 E Green St, Illini Eyecare Express, Champaign, IL 61820 | 2007-01-30 |
| 1790850345 | Kevin Lee Glancy | Optometrist | 2000 N Neil St, Champaign, IL 61820-7808 | 2006-11-21 |
| 1497826655 | Evelyn Marie Moore | Optometrist | 2032 N Prospect Ave, Champaign, IL 61822-1240 | 2006-11-10 |
| 1861562530 | Michael Garrett Balgemann | Optometrist | 2515 N Prospect Ave, Suite 100, Champaign, IL 61822-1226 | 2006-11-09 |
| 1194827642 | Lawrence Howard Kessler | Optometrist | 44 E. Main Street, Suit 100, Champaign, IL 61820-3636 | 2006-09-04 |
| 1730134552 | Jak Enterprises Inc | Optometrist | 907 W Marketview Dr, Suite 15, Champaign, IL 61822-1227 | 2006-05-23 |
| Find all providers in CHAMPAIGN | ||||
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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.