KMR SERVICES LTD (NPI# 1811346323) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1811346323 |
| Entity Type | Organization |
| Organization Name | KMR SERVICES LTD |
| Practice Address |
4700 135th St Crestwood IL 60445-1405 |
| Mailing Address |
16400 Pioneer Pkwy Lockport IL 60441-4787 |
| Practice Telephone | 7084896951 |
| Practice Fax Number | 7085898012 |
| Mailing Telephone | 8155285140 |
| Enumeration Date | 2016-06-06 |
| Last Update Date | 2016-06-06 |
| Authorized Official Name | DR. REGINO JOHN FLORA (PRESIDENT) |
| Authorized Official Telephone | 8155285140 |
| Authorized Official Credential | O.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 152W00000X | Optometrist | 046009047 | IL | Eye and Vision Services Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IL | 046009047 | 05 |
| Street Address |
4700 135TH ST |
| City | CRESTWOOD |
| State | IL |
| Zip Code | 60445-1405 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437177854 | Walmart Inc. | Durable Medical Equipment & Medical Supplies | 4700 135th St, Crestwood, IL 60418-1405 | 2006-07-17 |
| 1225639719 | Jennifer Anne Pilon | Pharmacist | 4700 135th St, Crestwood, IL 60418-1405 | 2020-11-03 |
| 1811598246 | Zuwena Shavers | Pharmacist | 4700 135th St, Crestwood, IL 60418-1405 | 2020-11-03 |
| 1205436862 | Linda Louise Scarnavack | Pharmacist | 4700 135th St, Crestwood, IL 60418-1405 | 2020-10-31 |
| 1407499460 | Rebecca Souliotis | Pharmacist | 4700 135th St, Crestwood, IL 60418-1405 | 2019-10-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861911398 | Paula Marie Jensen Hallahan | Psychologist | Hermansen Elementary School, 101 Wesglen Parkway, Romeoville, IL 60445 | 2017-09-15 |
| 1861933756 | Reginald Castillo | Emergency Medical Technician, Paramedic | 4939 East Circle Dr. #206, Crestwood, IL 60445 | 2017-03-13 |
| 1801259684 | Bruce Frank Leo | Hearing Instrument Specialist | 5553 W. 127th St, Crestwood, IL 60445 | 2016-03-30 |
| 1801291687 | Annie Eyer | Behavioral Analyst | 4942 138th Place, Crestwood, IL 60445 | 2014-10-23 |
| 1679997266 | Phoenix Behavioral Services, Inc | Case Management | 4649 147th Street, Midlothian, IL 60445 | 2014-02-18 |
| 1841537149 | Lacy Carol Little | Speech-Language Pathologist | 14715 Leclaire Ave., Midlothian, IL 60445 | 2013-01-08 |
| 1164709291 | Kathleen Chaudhari | Pharmacist | 4800 W 148th Street, Midlothian, IL 60445 | 2011-11-03 |
| 1063715498 | Amanda Rea Bird | Behavioral Analyst | 5415 129th Pl, Apt 4, Crestwood, IL 60445 | 2010-12-07 |
| 1831376615 | Plaza Nursing & Rehab Center, LLC | Durable Medical Equipment & Medical Supplies | 3249 W 147th St, Midlothiian, IL 60445 | 2008-01-24 |
| 1154475630 | Kevin Martin Bargamian | Dentist | 13549 South Cicero Avenue, Crestwood, IL 60445 | 2007-01-22 |
| Find all providers in zip 60445 | ||||
| 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 |
|---|---|---|---|---|
| 1841821972 | Dr. 2eyes Pllc | Optometrist | 5998 Pleasant Colony Ct Ste 16, Crestwood, KY 40014-8712 | 2020-01-28 |
| 1962974782 | Chloe Haberkorn | Optometrist | 5247 131st St, Crestwood, IL 60418-1255 | 2018-12-18 |
| 1225290406 | Jeremy David Fowler | Optometrist | 6501 Veterans Memorial Pkwy, Crestwood, KY 40014-8694 | 2008-06-27 |
| 1841381340 | Rick E Peterson | Optometrist | 5553 127th St, Crestwood, IL 60445-1123 | 2006-09-27 |
| 1811347180 | Ranjini Meena Ganesh | Optometrist | 5553 127th St, Crestwood, IL 60445-1123 | 2016-06-17 |
| 1528425444 | Derby City Eye Care, Pllc | Optometrist | 6501 Veterans Memorial Pkwy, Crestwood, KY 40014-8694 | 2016-01-22 |
| 1942685169 | Andrew Steele | Optometrist | 6400 Westwind Way, Crestwood, KY 40014-6773 | 2015-07-29 |
| 1043628423 | Chase Smith | Optometrist | 5553 127th St, Crestwood, IL 60445-1123 | 2014-07-29 |
| 1972626240 | Mubashra S Tahir | Optometrist | 4837 Cal Sag Rd, Crestwood, IL 60445-4415 | 2007-04-09 |
| 1659462158 | Brian Oswald | Optometrist | 5553 127th St, Crestwood, IL 60445-1123 | 2006-09-27 |
| Find all providers in CRESTWOOD | ||||
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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.