DR. MARY M. GRIMWOOD (NPI# 1841350584) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1841350584 |
| Entity Type | Individual |
| Full Name | DR. MARY M. GRIMWOOD |
| Credential | O.D. |
| Practice Address |
141 N. Weber Rd. Bolingbrook IL 60490 |
| Practice Telephone | 6303784342 |
| Practice Fax Number | 6303784147 |
| Mailing Telephone | 6303784342 |
| Mailing Fax Number | 6303784147 |
| Enumeration Date | 2006-12-11 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 152W00000X | Optometrist | 46009349 | IL | Eye and Vision Services Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IL | DEA | MG1070971 | 01 |
| Street Address |
141 N. WEBER RD. |
| City | BOLINGBROOK |
| State | IL |
| Zip Code | 60490 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477055945 | Myeyedr Optometry of Illinois, LLC | Optometrist | 310 S Weber Road, Bolingbrook, IL 60490 | 2018-03-01 |
| 1609391812 | Christian Joy Lazaro Pangan | Physical Therapist | 306 Chick Evans St, Bolingbrook, IL 60490 | 2017-08-09 |
| 1922522515 | David-jamahl Ardison | Physical Therapist | 194 N Weber Road, Bolingbrook, IL 60490 | 2017-07-26 |
| 1508261298 | Haytham El-genedy | Chiropractor | 319 Veterans Pakwy Bolingbrook, Bolingbrook, IL 60490 | 2014-10-24 |
| 1568710465 | Anthony M Buonamici | Specialist/Technologist | 313 North Weber Road, Bolingbrook, IL 60490 | 2012-08-27 |
| 1235329384 | Fayez Mekhael Nagib Mekhael | Family Medicine | 2136 Mark Cir, Bolingbrook, IL 60490 | 2007-07-25 |
| 1154337962 | Nurses On Calls, Inc. | Home Health | 1475 Basswood Dr, Bolingbrook, IL 60490 | 2006-08-01 |
| 1801841150 | David E Zacher | Pharmacist | 1920 Danube Way, Bolingbrook, IL 60490 | 2006-05-24 |
| 1144229816 | Patricia Lee Colledge | Nurse Practitioner | 149 N Weber Rd, Bolingbrook, IL 60490 | 2005-07-15 |
| 1114923497 | Bryan J Phillips | Ophthalmology | 718 S Weber Road, Bolingbrook, IL 60490 | 2005-06-22 |
| Find all providers in zip 60490 | ||||
| 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 |
|---|---|---|---|---|
| 1477055945 | Myeyedr Optometry of Illinois, LLC | Optometrist | 310 S Weber Road, Bolingbrook, IL 60490 | 2018-03-01 |
| 1841550761 | Rasa Eye Care & Vision Group Inc | Optometrist | 124 E Boughton Rd., Bolingbrook, IL 60440 | 2012-05-24 |
| 1902129604 | Bolingbrook Vision Source Inc. | Optometrist | 492 W Boughton Rd, Bolingbrook, IL 60440-1441 | 2010-03-09 |
| 1508012485 | Rasa Tharp | Optometrist | 124 E Boughton Rd, Bolingbrook, IL 60440-2014 | 2008-08-12 |
| 1720243850 | Marielle B Serenda | Optometrist | 623 E Boughton Rd, Ste 120, Bolingbrook, IL 60440-2498 | 2008-07-29 |
| 1659553642 | Full Sail Partners | Optometrist | 755 E Boughton Rd, Bolingbrook, IL 60440-2250 | 2007-11-30 |
| 1740470830 | Beverly Jane Lezondra | Optometrist | 641 E Boughton Rd, Suite 105, Bolingbrook, IL 60440-3143 | 2007-07-26 |
| 1659457448 | Lisa A Dryier | Optometrist | 623 E Boughton Rd Ste 120, Bolingbrook, IL 60440-2694 | 2006-10-27 |
| 1578643698 | Bolingbrook Eye Specialists Ltd | Optometrist | 150 Concord Lane, Bolingbrook, IL 60440 | 2006-10-16 |
| 1982706636 | Lori J. Wassmann | Optometrist | 1243 W Boughton Rd, Bolingbrook, IL 60440-1509 | 2006-09-02 |
| Find all providers in BOLINGBROOK | ||||
| City | BOLINGBROOK |
| Zip Code | 60490 |
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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.