LISA VERDERBER (NPI# 1710924386) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1710924386 |
| Entity Type | Individual |
| Full Name | LISA VERDERBER |
| Practice Address |
3612 Lake Ave 2c Wilmette IL 60091-1000 |
| Practice Telephone | 8472562020 |
| Enumeration Date | 2006-06-01 |
| Last Update Date | 2015-04-01 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207W00000X | Ophthalmology | 036101922 | IL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IL | 036101922 | 05 |
| Street Address |
3612 LAKE AVE 2C |
| City | WILMETTE |
| State | IL |
| Zip Code | 60091-1000 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730178971 | Mark Lawrence Zukowski | Plastic Surgery | 3612 Lake Ave, Wilmette, IL 60091-1000 | 2005-10-20 |
| 1134300510 | John Smith | Plastic Surgery | 3612 Lake Ave, Suite 2a, Wilmette, IL 60091-1000 | 2007-11-14 |
| 1134250095 | Elysa B Fisher | Specialist | 3612 Lake Ave, Wilmette, IL 60091-1000 | 2007-03-09 |
| 1346381431 | Katherine Mary Boho | Psychologist | 3612 Lake Ave, Wilmette, IL 60091-1000 | 2007-02-09 |
| 1710924857 | Pediatric Eye Associates, PC | Ophthalmology | 3612 Lake Ave, Suite 2c, Wilmette, IL 60091-1000 | 2006-05-31 |
| 1982659314 | Deborah Fishman | Ophthalmology | 3612 Lake Ave, 2c, Wilmette, IL 60091-1000 | 2006-05-24 |
| 1588613632 | North Shore Physicians Group, LLC | Specialist | 3612 Lake Ave, Ste. 4, Wilmette, IL 60091-1000 | 2006-05-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689284408 | Tanner Hoegh | Counselor | Address: 825 Green Bay Rd, Suite 200, Wilmette, IL 60091 | 2020-08-06 |
| 1205301082 | Charles Michael Falcone | Anesthesiology | 2743 Illinois Road, Wilmette, IL 60091 | 2018-10-09 |
| 1134646219 | Shari Beth Nivasch | Counselor | 445 Beverly Drive, Wilmette, IL 60091 | 2017-08-29 |
| 1508288440 | Debra Anne Brodd | Chiropractor | 522 Poplar, Wilmette, IL 60091 | 2014-01-13 |
| 1720411085 | Catherine Elizabeth Zwergel | Acupuncturist | 1215 Washington Ave Ste 203, Wilmette, IL 60091 | 2013-08-09 |
| 1447693106 | Michael Joseph Engelman | Dentist | 1625 Sheridan Rd. Suite M, Wilmette, IL 60091 | 2013-04-12 |
| 1720365117 | Anna Kielar | Pharmacist | 811 Greenbay Rd, Wilmette, IL 60091 | 2011-11-14 |
| 1306128368 | Victoriya Kharon | Pharmacist | 811 Greenbay Road, Wilmette, IL 60091 | 2011-09-15 |
| 1154626653 | Mary Jo Schmitz | Physical Therapist | 3330 Old Glenview Rd., Suite 4, Wilmette, IL 60091 | 2011-01-14 |
| 1053622522 | Stephanie Lynn Kutzen | Social Worker | 1925 Lake Avenue, Suite 305, Wilmette, IL 60091 | 2010-06-29 |
| Find all providers in zip 60091 | ||||
| Taxonomy Code | 207W00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Ophthalmology |
| An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Ophthalmology, 2007. http://www.abop.org/. American Osteopathic Board of Ophthalmology and Otolaryngology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Ophthalmology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Ophthalmology and Otolaryngology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376635367 | Marcel Frenkel | Ophthalmology | 1110 Ashland Avenue, Wilmette, IL 60091-1604 | 2006-09-28 |
| 1710924857 | Pediatric Eye Associates, PC | Ophthalmology | 3612 Lake Ave, Suite 2c, Wilmette, IL 60091-1000 | 2006-05-31 |
| 1982659314 | Deborah Fishman | Ophthalmology | 3612 Lake Ave, 2c, Wilmette, IL 60091-1000 | 2006-05-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104433473 | Chicagoland Eye Consultants, Sc | Ophthalmology | 477 E Butterfield Rd Ste 101, Lombard, IL 60148-4880 | 2020-09-30 |
| 1649894189 | Lakeshore Ophthalmology, LLC | Ophthalmology | 2525 S Michigan Ave Fl 8, Chicago, IL 60616-2315 | 2020-06-01 |
| 1053940460 | Neil L Ross | Ophthalmology | 950 N Michigan Ave Apt 5403, Chicago, IL 60611-7535 | 2020-04-07 |
| 1932730256 | Cereesa E. Longest Md Sc | Ophthalmology | 225 Oak Knoll Rd, Barrington, IL 60010-2615 | 2020-01-27 |
| 1497314181 | Ophthalmology Surgery Center of Illinois, LLC | Ophthalmology | 1300 N Arlington Heights Rd Ste 150, Itasca, IL 60143-3128 | 2019-06-06 |
| 1770149049 | Rop Consultants LLC | Ophthalmology | 5228 N Virginia Ave, Chicago, IL 60625-4015 | 2019-05-13 |
| 1962969881 | Monique Munro | Ophthalmology | 1855 W Taylor Street. Suite 3138 Illinois Eye and Infir, Chicago, IL 60612 | 2019-02-27 |
| 1679039457 | Laser and Cataract Institute, LLC | Ophthalmology | 22200 Wolf Rd, Frankfort, IL 60423-7721 | 2019-02-15 |
| 1063987345 | Chataam Optical LLC | Ophthalmology | 8741 S Greenwood Ave Ste 108, Chicago, IL 60619-7058 | 2018-10-12 |
| 1922507474 | Dekalb Eye Consultants, LLC | Ophthalmology | 1075 Featherstone Rd Ste 10, Rockford, IL 61107-5906 | 2018-02-09 |
| Find all providers with the same taxonomy | ||||
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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.