THERESA PULICKAL (NPI# 1710439633) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1710439633 |
| Entity Type | Individual |
| Full Name | THERESA PULICKAL |
| Credential | O.D. |
| Practice Address |
344 E Huntington Ln Elmhurst IL 60126-3625 |
| Practice Telephone | 9563584501 |
| Mailing Telephone | 9563584501 |
| Enumeration Date | 2016-10-26 |
| Last Update Date | 2016-10-26 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 152W00000X | Optometrist | 8703T | TX | Eye and Vision Services Providers |
| Y | 152W00000X | Optometrist | 046.011040 | IL | Eye and Vision Services Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093032781 | Theresa R Pulickal | Physical Therapist | 7862 El Cajon Blvd, La Mesa, CA 91942-6712 | 2010-04-21 |
| Street Address |
344 E HUNTINGTON LN |
| City | ELMHURST |
| State | IL |
| Zip Code | 60126-3625 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154931434 | Andrew D Chastain | Physical Therapy Assistant | 188 N. Industrial Drive, Suite 112, Elmhurst, IL 60126 | 2020-08-03 |
| 1407464472 | Kevin M. Dunn | Physical Therapy Assistant | 188 N, Industrial Dr, Suite 112, Elmhurst, IL 60126 | 2020-07-16 |
| 1699236414 | Rosario Garcia | Nurse Practitioner | 1200 York St, Elmhurst, IL 60126 | 2019-03-26 |
| 1003390857 | Lauren M Gorski | Physical Therapist | 275 N. York Rd, Suite 300, Elmhurst, IL 60126 | 2018-09-18 |
| 1073041240 | Kyle Patrick Harmon | Dentist | 127 W Vallette St, Elmhurst, IL 60126 | 2017-05-31 |
| 1083065031 | Mariah Lynn Kyro | Behavioral Analyst | 650 W. Grand Avenue Suite 207, Elmhurst, IL 60126 | 2016-06-30 |
| 1841661261 | Randi N. Rockell | Nurse Practitioner | 155 E. Brush Hill Rd., Elmhurst Memorial Hospital, Elmhurst, IL 60126 | 2015-10-12 |
| 1508254897 | Soles Therapy Services Corp | Speech-Language Pathologist | 627 N York Street, Unit E, Elmhurst, IL 60126 | 2015-01-08 |
| 1629466560 | Amy J Pawlik | Physical Therapist | 263 N. York Rd., Suite 200, Elmhurst, IL 60126 | 2014-12-30 |
| 1265771349 | Ladawna Goering | Nurse Practitioner | 133 E Brush Hill, Suite 310, Elmhurst, IL 60126 | 2013-02-08 |
| Find all providers in zip 60126 | ||||
| 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 |
|---|---|---|---|---|
| 1407402928 | Myeyedr Optometry of Illinois, LLC | Optometrist | 210 N York St Ste 102, Elmhurst, IL 60126-2706 | 2019-08-12 |
| 1750876298 | Stellar Vision Optometry, P.C. | Optometrist | 8518 Queens Blvd Fl 1, Elmhurst, NY 11373-4249 | 2018-06-27 |
| 1487161196 | Dr. Chen Optometry P.C. | Optometrist | 8327 Broadway, Elmhurst, NY 11373 | 2018-01-03 |
| 1689069486 | Industrial Optical Service, Inc | Optometrist | 138 N York St, Elmhurst, IL 60126-2806 | 2015-03-30 |
| 1790190080 | Orysya Protas | Optometrist | 40-60 Elbertson St., Apt. 3 D, Elmhurst, NY 11373 | 2014-06-25 |
| 1487958526 | Elmhurst Optometry Corp | Optometrist | 4004 Case St, Elmhurst, NY 11373-1534 | 2011-01-04 |
| 1104139872 | Dr. Lucia Patino, Optometrist, P.C. | Optometrist | 4007 82nd St, Elmhurst, NY 11373-1304 | 2010-07-22 |
| 1326217894 | Naheed Kauser Malik | Optometrist | 8633 Broadway, East West Opticians, Elmhurst, NY 11373 | 2008-02-28 |
| 1194928721 | Linda Marie Bertschuk | Optometrist | 9259 59th Ave, Elmhurst, NY 11373-5018 | 2007-06-10 |
| 1043420268 | Charles Kim | Optometrist | 94-07a 46 Avenue, 2nd Floor, Elmhurst, NY 11373 | 2007-05-23 |
| Find all providers in ELMHURST | ||||
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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.