RANDALL D KITTLE (NPI# 1871763839) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1871763839 |
| Entity Type | Individual |
| Full Name | RANDALL D KITTLE |
| Credential | OD |
| Practice Address |
4940 E State St Ste 2 Rockford IL 61108-2270 |
| Mailing Address |
6785 Weaver Rd Ste D Rockford IL 61114-8055 |
| Practice Telephone | 8153975959 |
| Enumeration Date | 2008-03-06 |
| Last Update Date | 2008-03-06 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 152W00000X | Optometrist | IL | Eye and Vision Services Providers |
| Street Address |
4940 E STATE ST STE 2 |
| City | ROCKFORD |
| State | IL |
| Zip Code | 61108-2270 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598733735 | Sarah C Anderson Krantz | Social Worker | 4940 E State St, Rockford, IL 61108-2270 | 2006-03-14 |
| 1942596952 | Deborah Kay Rogers | Pharmacist | 4940 E State St, Rockford, IL 61108-2270 | 2011-06-28 |
| 1205048204 | Brenda Kickertz | Pharmacist | 4940 E State St, Suite 1, Rockford, IL 61108-2270 | 2007-05-04 |
| 1487733325 | Lori Jean De Zanek | Dietitian, Registered | 4940 E State St, Suite 3, Rockford, IL 61108-2270 | 2006-11-02 |
| 1427140730 | Julie Pope Fulton | Dietitian, Registered | 4940 E State St, Suite 3, Rockford, IL 61108-2270 | 2006-09-28 |
| 1184722944 | Carol A Martin | Social Worker | 4940 E State St, Rockford, IL 61108-2270 | 2006-09-20 |
| 1255438362 | Kenneth Scott Martin | Counselor | 4940 E State St, Rockford, IL 61108-2270 | 2006-09-20 |
| 1265538722 | Thuy Nguyen Blair | Pharmacist | 4940 E State St, Suite 1, Rockford, IL 61108-2270 | 2006-09-15 |
| 1588760052 | Lynn Stadtmueller | Pharmacist | 4940 E State St, Suite 1, Rockford, IL 61108-2270 | 2006-09-15 |
| 1972607513 | Linda Ann Parish | Registered Nurse | 4940 E State St, Rockford, IL 61108-2270 | 2006-09-12 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952862617 | Isr Enterprises, Inc. | Homemaker | 129 Phelps Ave, Bldg 10, Ste 1008, Rockford, IL 61108 | 2019-03-26 |
| 1003306465 | Adrienne Nicole Black | Behavior Technician | 519 Woodland Dr, Woodland Dr, Rockford, IL 61108 | 2018-05-11 |
| 1184085201 | Integrative Healing Center, LLC | Clinic/Center | 6019 Fincham Drive, Rockford, IL 61108 | 2016-03-17 |
| 1730547936 | Perryville Dentist PC | Dentist | 845 S Perryville Rd, Unit 119, Rockford, IL 61108 | 2016-02-02 |
| 1023489853 | Nicole Ping Ticknor | Counselor | 433 S. Phelps Ave., Suite 2, Rockford, IL 61108 | 2015-10-20 |
| 1275940348 | Northwest Home Care, Inc. | Home Health | 1437 S. Bell School Road, Suite 7, Rockford, IL 61108 | 2014-07-21 |
| 1487072922 | Alecia Greenlee | Psychiatry & Neurology | Rosecrance Community Mental Health, 3815 Harrison Avenue, Rockford, IL 61108 | 2014-04-02 |
| 1871925446 | Maria Laura Gustafson | Interpreter | 3208 Wesleyan Ave., Rockford, IL 61108 | 2013-08-06 |
| 1346582822 | Joseph Peevey | Pathology | 5666 E State Street, Department of Pathology, Rockford, IL 61108 | 2013-03-21 |
| 1134466923 | James Henry Peck | Hearing Instrument Specialist | 2424 Charles St, Rockford, IL 61108 | 2013-01-14 |
| Find all providers in zip 61108 | ||||
| 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 |
|---|---|---|---|---|
| 1831749548 | Manpreet Kaur Dhaliwal | Optometrist | 6055 E State St Ste D01a, Rockford, IL 61108-2512 | 2019-09-14 |
| 1396399804 | Freedom Vision Centers LLC | Optometrist | 6150 E State St Ste 130, Rockford, IL 61108-2524 | 2019-08-01 |
| 1679127021 | Rosalba Ramirez | Optometrist | 5915 E Riverside Blvd, Rockford, IL 61114-4935 | 2019-07-24 |
| 1295214435 | Neil Patel | Optometrist | 7200 Harrison Ave Unit F35, Rockford, IL 61112-3014 | 2018-08-08 |
| 1568839231 | Irina Rutkowski | Optometrist | 1603 N Alpine Rd Ste 121, Rockford, IL 61107-1439 | 2015-08-28 |
| 1053603837 | Hina N Patel | Optometrist | 4777 E State St # 6, Rockford, IL 61108-8802 | 2011-05-11 |
| 1114237435 | Erica L Touhill-watson | Optometrist | 6790 Cannon Farms Dr Ne, Rockford, MI 49341-7720 | 2010-10-20 |
| 1952615684 | Aman Jalota | Optometrist | 6430 E State St, Rockford, IL 61108-2529 | 2010-08-05 |
| 1821248287 | Michael S. Feldt, O.d., Ltd. | Optometrist | 1640 Broadway, Rockford, IL 61104-6000 | 2008-09-23 |
| 1316107568 | Wight Optometric PC | Optometrist | 1975 Pawlisch Dr, Rockford, IL 61112-1069 | 2008-06-11 |
| Find all providers in ROCKFORD | ||||
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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.