MS. ALEXANDRA MARIE BRAET (NPI# 1740837848) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1740837848 |
| Entity Type | Individual |
| Full Name | MS. ALEXANDRA MARIE BRAET |
| Credential | O.D. |
| Practice Address |
261 N Broad St Galesburg IL 61401-4563 |
| Mailing Address |
216 Nw 1st St Galva IL 61434-1302 |
| Practice Telephone | 3093431179 |
| Practice Fax Number | 3093435287 |
| Mailing Telephone | 3099323615 |
| Mailing Fax Number | 3099322023 |
| Enumeration Date | 2019-08-22 |
| Last Update Date | 2019-08-22 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 152W00000X | Optometrist | 046011322 | IL | Eye and Vision Services Providers |
| Street Address |
261 N BROAD ST |
| City | GALESBURG |
| State | IL |
| Zip Code | 61401-4563 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619311248 | Illinois Institute of Dental Sleep Medicine Inc | Dentist | 261 N Broad St, Galesburg, IL 61401-4563 | 2013-04-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679174973 | Jeff Engwall | Pharmacist | 359 Knox Square Drive, Galesburg, IL 61401 | 2020-11-03 |
| 1861962441 | Becky Cameron | Counselor | 2323 Windish Dr., Galesburg, IL 61401 | 2018-11-27 |
| 1295245496 | Aaron Thomas Wachtel | Dentist | 1172 Monroe Street, Galesburg, IL 61401 | 2017-10-03 |
| 1588182224 | Alicia Warren | Speech-Language Pathologist | 932 Harrison St., Galesburg, IL 61401 | 2017-09-01 |
| 1770986770 | Virginia G Kasser | Psychologist | 575 N Kellogg, Galesburg, IL 61401 | 2014-10-03 |
| 1063814309 | Lakshmi Kalyani Gudavalli | Physical Therapist | 275 E Carl Sandburg Drive, Marigold Rehabilitation, Galesburg, IL 61401 | 2014-09-18 |
| 1821350489 | James Eugene Tiller | Psychologist | 2101 Windish Drive, Galesburg, IL 61401 | 2012-06-11 |
| 1720285836 | Donald J. Regnier | Hearing Instrument Specialist | 4l Plaza, Suite 57, Galesburg, IL 61401 | 2007-07-02 |
| 1306066535 | Arnold John Minor | Dentist | 69 N Chambers St, Galesburg, IL 61401 | 2007-04-30 |
| 1114140373 | Community Residential Centers Inc | Intermediate Care Facility, Mentally Retarded | 239 S Cherry Street, Galesburg, IL 61401 | 2007-04-10 |
| Find all providers in zip 61401 | ||||
| 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 |
|---|---|---|---|---|
| 1043349525 | Gordon S Weech | Optometrist | 1150 W Carl Sandburg Dr, Galesburg, IL 61401-1387 | 2007-03-02 |
| 1700897543 | Daniel W Sherwood | Optometrist | 1115 N Henderson St, Galesburg, IL 61401-2523 | 2006-08-10 |
| 1033163282 | Jak Enterprises Inc | Optometrist | 1265 N Henderson St, Galesburg, IL 61401-1510 | 2006-05-20 |
| 1235104035 | Kehoe Eye Care PC | Optometrist | 4-l Plaza, Suite 35, Galesburg, IL 61401 | 2006-02-23 |
| 1164415139 | Peter H Kehoe | Optometrist | 35 4l Plz, Galesburg, IL 61401-4501 | 2005-08-25 |
| 1609258581 | Ava Rose Eyecare Ltd | Optometrist | 1115 N Henderson St, Galesburg, IL 61401-2523 | 2015-06-26 |
| 1669806600 | Elizabeth Eyler | Optometrist | 834 N Seminary St, Ste 103, Galesburg, IL 61401-2852 | 2013-08-27 |
| 1841423753 | Nathan Curtis Dieckow | Optometrist | 1115 N Henderson St, Galesburg, IL 61401-2523 | 2009-08-25 |
| 1568619898 | Elisa Skadahl | Optometrist | 659 Knox Square Dr, Galesburg, IL 61401-8605 | 2008-08-18 |
| 1558560136 | Anthony B Carter | Optometrist | 4l Plaza, Suite #35, Galesburg, IL 61401 | 2007-07-13 |
| Find all providers in GALESBURG | ||||
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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.