NICOLE CARBONARO (NPI# 1780230227) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1780230227 |
| Entity Type | Individual |
| Full Name | NICOLE CARBONARO |
| Credential | OD |
| Practice Address |
502 Waverly Dr Elgin IL 60120-4082 |
| Mailing Address |
8948 Oak Park Ave Morton Grove IL 60053-2378 |
| Practice Telephone | 8476977771 |
| Mailing Telephone | 2246599954 |
| Enumeration Date | 2019-08-12 |
| Last Update Date | 2019-08-12 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 152W00000X | Optometrist | 046011353 | IL | Eye and Vision Services Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255707089 | Nicole Carbonaro | Developmental Therapist | 33 Turnpike Rd, Southborough, MA 01772-2108 | 2015-08-17 |
| Street Address |
502 WAVERLY DR |
| City | ELGIN |
| State | IL |
| Zip Code | 60120-4082 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477986826 | Yasham Sharaf Alam | Optometrist | 502 Waverly Dr, Elgin, IL 60120-4082 | 2013-08-20 |
| 1144846106 | Kyle William Young | Optometrist | 502 Waverly Dr, Elgin, IL 60120-4082 | 2020-06-24 |
| 1396195228 | Maja Hadziahmetovic | Optometrist | 502 Waverly Dr, Elgin, IL 60120-4082 | 2016-06-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003391749 | Kids Above All | Clinic/Center | United Methodist Church, 651 Lillie Street, Elgin, IL 60120 | 2018-09-28 |
| 1215483979 | Kelly Fetherling | Social Worker | 6912 S Main St., Elgin, IL 60120 | 2016-08-31 |
| 1164870457 | Peter Norton | Pharmacist | 1038 Summit Street, Elgin, IL 60120 | 2016-05-27 |
| 1417316373 | Beverly Brewster | Counselor | 675 Varsity Dr., Elgin, IL 60120 | 2016-02-19 |
| 1407194780 | Well Baby Care PC | Pediatrics | 1185-87 Dundee Avenue, Suite A-2, Elgin, IL 60120 | 2013-01-22 |
| 1740533546 | Vna Health Care | Clinic/Center | 801 Villa Street, Elgin, IL 60120 | 2012-10-18 |
| 1457638934 | Sharon Rose Nemenzo Araneta | Physical Therapist | 795 Summit St, Elgin, IL 60120 | 2011-11-10 |
| 1770866451 | Claudette M Vanhessen | Pharmacist | 815 Summit Street, Elgin, IL 60120 | 2011-09-20 |
| 1083993430 | Monica J. Fudala | Family Medicine | 820 Summit St # B4, Elgin, IL 60120 | 2011-08-16 |
| 1144517830 | Complete Care Medical Center, S.c | Family Medicine | 373 Summit St Ste 100, Elgin, IL 60120 | 2011-07-01 |
| Find all providers in zip 60120 | ||||
| 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 |
|---|---|---|---|---|
| 1093295305 | Clayton William Rutkowski | Optometrist | 1205 Hwy 290 E, Elgin, TX 78621-2018 | 2018-08-16 |
| 1114470267 | Michelle Hanh Ma | Optometrist | 1205 Highway 290 W, Elgin, TX 78621 | 2016-07-25 |
| 1467826057 | Elgin Vision Pllc | Optometrist | 1205 W. Highway 290, Elgin, TX 78621 | 2015-11-19 |
| 1477986826 | Yasham Sharaf Alam | Optometrist | 502 Waverly Dr, Elgin, IL 60120-4082 | 2013-08-20 |
| 1710137757 | Morfoot Eyecare | Optometrist | 815 S Randall Rd, Elgin, IL 60123-3003 | 2008-09-26 |
| 1598942427 | Manal Hajali | Optometrist | 502 Waverly Drive, Elgin, IL 60120 | 2008-01-22 |
| 1508088683 | Susan M Penner | Optometrist | 363 S Randall Rd, Elgin, IL 60123 | 2007-05-02 |
| 1609924745 | Toshio Nakajima | Optometrist | 165 S Randall Rd, Elgin, IL 60123 | 2007-01-08 |
| 1013012327 | Family Vision Clinic LLP | Optometrist | 110 Main St N, Elgin, ND 58533 | 2006-09-13 |
| 1649386608 | Maria Jean Nelsen | Optometrist | 1001 N Randall Rd, Elgin, IL 60123-2319 | 2006-08-22 |
| Find all providers in ELGIN | ||||
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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.