DR. BRENT PATRICK DUNLAP (NPI# 1760557698) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1760557698 |
| Entity Type | Individual |
| Full Name | DR. BRENT PATRICK DUNLAP |
| Credential | O.D. |
| Practice Address |
42 Briarcliff Professional Center Bourbonnais IL 60914 |
| Practice Telephone | 8159321116 |
| Practice Fax Number | 8159329919 |
| Mailing Telephone | 8159321116 |
| Mailing Fax Number | 8159329919 |
| Enumeration Date | 2006-11-24 |
| Last Update Date | 2008-03-26 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 152W00000X | Optometrist | 469363 | IL | Eye and Vision Services Providers |
| Street Address |
42 BRIARCLIFF PROFESSIONAL CENTER |
| City | BOURBONNAIS |
| State | IL |
| Zip Code | 60914 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396810222 | Joe Louis Long | Optometrist | 42 Briarcliff Professional Center, Bourbonnais, IL 60914 | 2006-11-24 |
| 1073647293 | Brent Dunlap Od PC | Optometrist | 42 Briarcliff Professional Center, Bourbonnais, IL 60914 | 2007-03-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326648023 | Jacob Daniel Ledesma | Physical Therapist | 588 William R Latham Senior Dr Ste 5, Bourbonnais, IL 60914 | 2020-10-30 |
| 1467069823 | Alicia Nicole Kendra | Nurse Practitioner | Upliftedcare, 482 Main St. Nw, Bourbonnais, IL 60914 | 2020-09-29 |
| 1043860877 | Victor Manuel Vazquez Cervantes | Pharmacist | 2080 No, Il-50, Bourbonnais, IL 60914 | 2019-09-13 |
| 1740843267 | Panoptic Physical Therapy LLC | Physical Medicine & Rehabilitation | 1511 N. Convent St Suite 1000, Bourbonnais, IL 60914 | 2019-04-19 |
| 1770074577 | Colin P Koerner | Physical Therapist | 215 N Convent St Ste 6, Bourbonnais, IL 60914 | 2018-05-29 |
| 1306337340 | Megan Hoskins | Behavior Technician | 3187 N 2420 W Rd., Bourbonnais, IL 60914 | 2018-05-25 |
| 1932600459 | Thomas H George Dds PC | Clinic/Center | 14 Briarcliff Professional Center, Bourbonnais, IL 60914 | 2018-02-21 |
| 1780193904 | Kathleen M Saindon II | Speech-Language Pathologist | 1021 Deer Trail, Bourbonnais, IL 60914 | 2017-09-20 |
| 1457870206 | Janet Mary Notton | Speech-Language Pathologist | 920 W Margaret Lane, Bourbonnais, IL 60914 | 2017-09-13 |
| 1134646375 | Sagar Batish | Student in an Organized Health Care Education/Training Program | 1096 Country Lane, Bourbonnais, IL 60914 | 2017-08-28 |
| Find all providers in zip 60914 | ||||
| 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 |
|---|---|---|---|---|
| 1053795906 | Tayler Peachey | Optometrist | 719 Almar Pkwy, Bourbonnais, IL 60914-2313 | 2015-07-09 |
| 1306909445 | David Thomas Spengel | Optometrist | 1600 N State Route 50, Rm 580 Northfield Square, Bourbonnais, IL 60914-9307 | 2006-12-19 |
| 1396810222 | Joe Louis Long | Optometrist | 42 Briarcliff Professional Center, Bourbonnais, IL 60914 | 2006-11-24 |
| 1427066232 | Chris Martin II Od PC | Optometrist | 2080 N. State Rt 50, Bourbonnais, IL 60915 | 2006-08-04 |
| 1992713309 | Matthew Clark Nicholson | Optometrist | 352 Brown Blvd, Bourbonnais, IL 60914-2458 | 2006-08-03 |
| 1932630175 | Insight Eyecare, P.C. | Optometrist | 2080 N State Route 50, Bourbonnais, IL 60914-4410 | 2017-03-21 |
| 1225378193 | Dimple Mukesh Soni | Optometrist | 1602 N State Route 50, Bourbonnais, IL 60914-9304 | 2013-02-28 |
| 1023344835 | Karyn Bassett | Optometrist | 1600 N Sr 50, Pearle Vision, Bourbonnais, IL 60914-9307 | 2009-10-29 |
| 1245566363 | Erik Ranta | Optometrist | 135 W River St, Bourbonnais, IL 60914-1964 | 2009-10-23 |
| 1285751552 | Meyer Optical Co. Inc. | Optometrist | 135 W River St, Bourbonnais, IL 60914-1964 | 2007-03-23 |
| Find all providers in BOURBONNAIS | ||||
| City | BOURBONNAIS |
| Zip Code | 60914 |
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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.