LAKE BLUFF FAMILY EYE CARE, INC. (NPI# 1821339482) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1821339482 |
| Entity Type | Organization |
| Organization Name | LAKE BLUFF FAMILY EYE CARE, INC. |
| Practice Address |
755 Rockland Road Suite 201 Lake Bluff IL 60044 |
| Practice Telephone | 8477351699 |
| Mailing Telephone | 8477351699 |
| Enumeration Date | 2013-03-07 |
| Last Update Date | 2013-03-07 |
| Authorized Official Name | DR. DAVID JACKSON (PRESIDENT) |
| Authorized Official Telephone | 8477351699 |
| Authorized Official Credential | O.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 152W00000X | Optometrist | 046008452 | IL | Eye and Vision Services Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IL | STATE OF ILLINOIS OPTOMETRIST PROFESSIONAL LICENSE | 046008452 | 01 |
| Street Address |
755 ROCKLAND ROAD SUITE 201 |
| City | LAKE BLUFF |
| State | IL |
| Zip Code | 60044 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013494236 | Therese Ann Hejazinia | Nurse Practitioner | Westmoreland Obgyn Associate, 917 Sherwood Dr. Suite 200, Lake Bluff, IL 60044 | 2018-07-20 |
| 1558745067 | Luxottica of America Inc. | Eyewear Supplier (Equipment, not the service) | 975 Rockland Road, Lake Bluff, IL 60044 | 2015-07-14 |
| 1720416274 | Angela Marcotte | Physical Therapist | 600 Basil Rd, Lake Bluff, IL 60044 | 2013-10-21 |
| 1700126067 | Nicole Teresa Genbauer | Counselor | 900 North Shore Drive Suite 120, Lake Bluff, IL 60044 | 2013-02-25 |
| 1336426337 | Howard Wayne Siegel | Pharmacist | 12700 W Rockland, Lake Bluff, IL 60044 | 2011-11-04 |
| 1811121494 | Wendy Lou Mccarty | Marriage & Family Therapist | 655 Rockland Road, 207, Lake Bluff, IL 60044 | 2009-05-11 |
| 1346485927 | Cheryl Jackson Od PC | Optometrist | 10 E. Scranton Ave, Suite 203, Lake Bluff, IL 60044 | 2008-12-10 |
| 1184847279 | Allied Counseling Services PC | Psychologist | 49 Sherwood Terrace, Ste T, Lake Bluff, IL 60044 | 2007-04-10 |
| 1306911854 | Kari Christopherson Falls | Social Worker | 21 N Skokie Blvd, Associates In Therapy Assessment LLC Suite 203, Lake Bluff, IL 60044 | 2006-11-21 |
| 1144303413 | Sandra L Yanklowitz | Speech-Language Pathologist | 152 Welwyn Court, Lake Bluff, IL 60044 | 2006-10-23 |
| Find all providers in zip 60044 | ||||
| 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 |
|---|---|---|---|---|
| 1235405366 | Barbara J Mccaskey | Optometrist | 224 E Sheridan Rd, Lake Bluff, IL 60044-2732 | 2012-03-22 |
| 1346485927 | Cheryl Jackson Od PC | Optometrist | 10 E. Scranton Ave, Suite 203, Lake Bluff, IL 60044 | 2008-12-10 |
| 1952421380 | Pearle Vision | Optometrist | 233 Waukegan Rd, Lake Bluff, IL 60044-1666 | 2007-03-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437750247 | Saida Samedova | Optometrist | 5255 Il-251, Peru, IL 61354 | 2020-11-06 |
| 1124627880 | Biren Patel | Optometrist | 1330 N Larkin Ave, Joliet, IL 60435-3765 | 2020-10-22 |
| 1790392587 | Adriana Casillas | Optometrist | 11129 S Avenue J, Chicago, IL 60617-6910 | 2020-09-25 |
| 1033725114 | Sabrina D'haiti | Optometrist | 607 Oakton St, Evanston, IL 60202-5615 | 2020-09-23 |
| 1164037495 | Brett David Freitag | Optometrist | 5006 Northwest Hwy, Crystal Lake, IL 60014-7339 | 2020-09-14 |
| 1164036786 | Deeti Patel | Optometrist | 9053 Hollyberry Ave, Des Plaines, IL 60016-4216 | 2020-09-01 |
| 1497368252 | Gca Optical LLC | Optometrist | 1520 N Rock Run Dr Ste 2, Crest Hill, IL 60403-3172 | 2020-08-30 |
| 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 |
| 1053938092 | Premier Vision Center LLC | Optometrist | 2809 Mansion Rd Ste A, Springfield, IL 62711-6811 | 2020-06-25 |
| Find all providers with the same taxonomy | ||||
| City | LAKE BLUFF |
| Zip Code | 60044 |
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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.