INDUSTRIAL OPTICAL SERVICE, INC (NPI# 1770884488) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1770884488 |
| Entity Type | Organization |
| Organization Name | INDUSTRIAL OPTICAL SERVICE, INC |
| Other Organization Name | SPEX |
| Practice Address |
3760 N Broadway St Chicago IL 60613-4105 |
| Mailing Address |
115 S Lasalle St 27th Floor Chicago IL 60603-3801 |
| Practice Telephone | 7739752020 |
| Mailing Telephone | 3126737192 |
| Enumeration Date | 2010-11-11 |
| Last Update Date | 2011-02-07 |
| Authorized Official Name | CARRIE ROITSTEIN (OPOMETRIST) |
| Authorized Official Telephone | 3126737192 |
| Authorized Official Credential | O.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 152W00000X | Optometrist | Eye and Vision Services Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AETNA | 7235044 | 01 | |
| BCBS | 1636706 | 01 |
| Other Name | Type Code |
|---|---|
| Spex | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952770604 | Industrial Optical Service, Inc | Optometrist | 2843 Pfingsten Rd, Glenview, IL 60026-1153 | 2015-09-23 |
| 1689069486 | Industrial Optical Service, Inc | Optometrist | 138 N York St, Elmhurst, IL 60126-2806 | 2015-03-30 |
| 1578829867 | Industrial Optical Service, Inc | Optometrist | 5408 N Clark St, Chicago, IL 60640-1210 | 2012-04-11 |
| 1902172364 | Industrial Optical Service, Inc | Optometrist | 2154 W Roscoe St, Unit C, Chicago, IL 60618-6975 | 2012-03-29 |
| 1265832455 | Industrial Optical Service, Inc | Optometrist | 890 William Hilton Pkwy, Suite 93, Hilton Head, SC 29928-3418 | 2014-08-26 |
| 1336491596 | Industrial Optical Service, Inc | Optometrist | 910 Green Bay Rd, Winnetka, IL 60093-1719 | 2012-10-11 |
| 1598060246 | Industrial Optical Service, Inc | Optometrist | 122 N Oak Park Ave, Oak Park, IL 60301-1304 | 2011-01-11 |
| Street Address |
3760 N BROADWAY ST |
| City | CHICAGO |
| State | IL |
| Zip Code | 60613-4105 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720238058 | Albert F Choi | Optometrist | 3760 N Broadway St, Chicago, IL 60613-4105 | 2008-09-23 |
| 1427413327 | Myeyedr Optometry of Illinois, LLC | Optometrist | 3760 N Broadway St, Chicago, IL 60613-4105 | 2015-12-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588261978 | Thorek Radiology Group Nfp | Radiology | 850 West Irving Park Road, Chicago, IL 60613 | 2020-10-08 |
| 1760034128 | Maryellen Karas Lajeunesse | Social Worker | 3930 N. Pine Grove Ave, #2403, Chicago, IL 60613 | 2019-07-15 |
| 1801366430 | Stephanie A Dykema | Psychologist | 4043 N Ravenswood Ave Suite 302, Chicago, IL 60613 | 2018-11-27 |
| 1487154191 | Alan Tsang | Counselor | 655 W Irving Park Rd Ste 203, Chicago, IL 60613 | 2018-02-19 |
| 1972015782 | Integrated Ortho, LLC. | Durable Medical Equipment & Medical Supplies | 3717 N. Ravenswood Ave, Suite 219w, Chicago, IL 60613 | 2017-11-02 |
| 1073048005 | Claire Jolly | Social Worker | 3701 N Ravenswood Ave Ste 301, Chicago, IL 60613 | 2017-04-27 |
| 1730626011 | Marc Fagan | Psychologist | 4101 N Ravenswood Ave., Chicago, IL 60613 | 2017-01-25 |
| 1205385671 | Sara Turner | Psychologist | 3855 N Greenview Ave # 2a, Chicago, IL 60613 | 2016-09-27 |
| 1962955997 | Michelle Montero | Psychologist | 925 W Dakin St Apt 405, Chicago, IL 60613 | 2016-07-26 |
| 1063883494 | Athletico, Ltd | Physical Therapist | 3922 North Sheridan Rd, Chicago, IL 60613 | 2015-10-12 |
| Find all providers in zip 60613 | ||||
| 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 |
|---|---|---|---|---|
| 1790392587 | Adriana Casillas | Optometrist | 11129 S Avenue J, Chicago, IL 60617-6910 | 2020-09-25 |
| 1538778097 | Opt Vision | Optometrist | 5371 W Lawrence Ave Ste A, Chicago, IL 60630-3695 | 2020-07-30 |
| 1578180147 | Ortizii PC | Optometrist | 111 N Wabash Ave Ste 1111, Chicago, IL 60602-3119 | 2020-06-30 |
| 1588280358 | Iwona B. Lazarz | Optometrist | 6500 W Irving Park Rd Ste I, Chicago, IL 60634-2454 | 2020-06-17 |
| 1134741622 | Cvs Aoc Services, L.L.C. | Optometrist | 4051 North Lincoln, Store 8751, Chicago, IL 60618 | 2020-05-07 |
| 1154941367 | Sun Myung Park | Optometrist | 465 N Park Dr Apt 2203, Chicago, IL 60611-0008 | 2020-04-17 |
| 1578196341 | Steven K. Siu | Optometrist | 2719 S Princeton Ave Fl 1, Chicago, IL 60616-4883 | 2020-02-19 |
| 1235789884 | Courtney Bandemer | Optometrist | 3708 N Southport Ave, Chicago, IL 60613-6888 | 2019-09-16 |
| 1306493408 | Art of Sight Eyecare, LLC | Optometrist | 2915 N. Broadway, Chicago, IL 60657 | 2019-08-22 |
| 1154977759 | Keralyn Totten | Optometrist | 230 E Ohio St Ste 120, Chicago, IL 60611-3266 | 2019-08-11 |
| Find all providers in CHICAGO | ||||
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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.