BRAIN-EYE EVOLUTION AT 730 NORTH (NPI# 1851741714) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1851741714 |
| Entity Type | Organization |
| Organization Name | BRAIN-EYE EVOLUTION AT 730 NORTH |
| Practice Address |
730 N Milwaukee Ave Libertyville IL 60048-1914 |
| Practice Telephone | 8473629900 |
| Mailing Telephone | 8473629900 |
| Enumeration Date | 2016-06-21 |
| Last Update Date | 2016-06-21 |
| Authorized Official Name | JODY L RICKETTS (OPTOMETRIST) |
| Authorized Official Telephone | 8473629900 |
| Authorized Official Credential | O.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 152WV0400X |
Optometrist Specialization: Vision Therapy |
Eye and Vision Services Providers |
| Street Address |
730 N MILWAUKEE AVE |
| City | LIBERTYVILLE |
| State | IL |
| Zip Code | 60048-1914 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205939683 | Jody L Ricketts | Optometrist | 730 N Milwaukee Ave, Libertyville, IL 60048-1914 | 2006-09-07 |
| 1134567225 | Angela C Pak Oh | Optometrist | 730 N Milwaukee Ave, Libertyville, IL 60048-1914 | 2013-06-11 |
| 1821435660 | 730 North Optometry PC | Optometrist | 730 N Milwaukee Ave, Libertyville, IL 60048-1914 | 2013-06-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184119950 | Park Avenue Dental Professionals, PC | Dentist | 1001 W. Park Avenue, Libertyville, IL 60048 | 2018-06-25 |
| 1437643525 | Shanna Coyle | Registered Nurse | 1128 Jaimee Ln, Libertyville, IL 60048 | 2018-06-21 |
| 1366943672 | Jackie Rayyan | Behavior Technician | 917 Sherwood Drive, Suite 201, Lake Bluff, IL 60048 | 2018-02-22 |
| 1851804850 | Mary E. Linsey | Counselor | 34180 Highway 45, Libertyville, IL 60048 | 2017-11-13 |
| 1962929018 | Affinity Integrated Healthcare | Chiropractor | 736 Florsheim Dr, St 12, Libertyville, IL 60048 | 2017-08-29 |
| 1164946471 | Christianna Patterson | Speech-Language Pathologist | 1870 W Winchester Rd #203, Libertyville, IL 60048 | 2017-07-28 |
| 1962938407 | Kyle Winiger | Specialist/Technologist | 4551 West Gavin Lane, Libertyville, IL 60048 | 2017-05-03 |
| 1396291530 | Karyn Kolner | Physical Therapist | 860 W Winchester Rd, #108, Libertyville, IL 60048 | 2016-08-28 |
| 1477900785 | Medlogic LLC | Clinic/Center | 114 West Rockland Road, Suite 201, Libertyville, IL 60048 | 2016-05-17 |
| 1477926343 | Robert Mcnulty | Student in an Organized Health Care Education/Training Program | 1313 Crane Blvd, Libertyville, IL 60048 | 2015-11-02 |
| Find all providers in zip 60048 | ||||
| Taxonomy Code | 152WV0400X |
| Grouping | Eye and Vision Services Providers |
| Classification | Optometrist |
| Specialization | Vision Therapy |
| Optometrists who specialize in vision therapy as a treatment process used to improve vision function. It includes a broad range of developmental and rehabilitative treatment programs individually prescribed to remediate specific sensory, motor and/or visual perceptual dysfunctions. |
| Notes: Source: American Optometric Association [1/1/2009: added definition, added source] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962639781 | Plano Child Development Center | Optometrist | 5401 S Wentworth Ave Ste 14a, Chicago, IL 60609-6300 | 2009-06-18 |
| 1932352994 | Developmental Vision Center | Optometrist | 2075 Wiesbrook Rd, Oswego, IL 60543-8312 | 2008-11-03 |
| 1043495179 | Christine D Clark | Optometrist | 221 Woodland Ave, Bloomington, IL 61701-5659 | 2008-01-08 |
| 1881812162 | Dr Neil W Margolis Od PC | Optometrist | 3250 N. Arlington Heights Rd, Suite 109, Arlington Heights, IL 60004-1534 | 2007-04-23 |
| 1821196114 | Jeffrey H. Getzell | Optometrist | 1740 N. Ridge Ave., Ste. 100-b, Evanston, IL 60201-5918 | 2006-09-20 |
| 1750330411 | Vision Salon Eye Care Associates | Optometrist | 13046 Western Ave, Blue Island, IL 60406-2419 | 2006-05-09 |
| 1760849681 | Dynamic Center for Vision Therapy, P.C. | Optometrist | 1891 Bay Scott Cir, Suite 109, Naperville, IL 60540-1137 | 2016-01-22 |
| 1851786214 | Vision Development and Rehabilitation Consultants LLC | Optometrist | 360 S Waukegan Rd, Suite A2, Deerfield, IL 60015-5653 | 2015-04-02 |
| 1982982385 | Clarendon Vision Development Center | Optometrist | 103 Ogden Ave, Clarendon Hills, IL 60514-1027 | 2011-08-02 |
| 1912209768 | Family Vision Therapy PC | Optometrist | 444 N Eola Rd, #105, Aurora, IL 60502-9615 | 2010-11-30 |
| Find all providers with the same taxonomy | ||||
| City | LIBERTYVILLE |
| Zip Code | 60048 |
Please comment or provide details below to improve the information on BRAIN-EYE EVOLUTION AT 730 NORTH.
| 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.