MODERN EYE CAER LTD (NPI# 1871772111) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1871772111 |
Entity Type | Organization |
Organization Name | MODERN EYE CAER LTD |
Practice Address |
4640 N Marine Dr 8 Blum Chicago IL 60640-5719 |
Mailing Address |
4640 N Marine Dr Chicago IL 60640-5719 |
Practice Telephone | 7735646175 |
Practice Fax Number | 7735610631 |
Mailing Telephone | 7735646175 |
Mailing Fax Number | 7735610631 |
Enumeration Date | 2007-11-02 |
Last Update Date | 2007-12-20 |
Authorized Official Name | ALEKSANDR KAGAN (PHYSICIAN) |
Authorized Official Telephone | 7735646175 |
Authorized Official Credential | D.O. |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 207W00000X | Ophthalmology | IL | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
INDIVIDUAL NPI | 1598728453 | 01 |
Street Address |
4640 N MARINE DR 8 BLUM |
City | CHICAGO |
State | IL |
Zip Code | 60640-5719 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1982602629 | Maribe Bangayan | Internal Medicine | 4640 N Marine Dr, Chicago, IL 60640-5719 | 2005-07-07 |
1538473640 | Rny Medicare Ltd | Internal Medicine | 4640 N Marine Dr, Chicago, IL 60640-5719 | 2010-07-30 |
1821218793 | Mervin J. Weis & Bruce L. Ferguson Md, Sc | Internal Medicine | 4640 N Marine Dr, Ste C 6100, Chicago, IL 60640-5719 | 2007-04-26 |
1720131014 | Shifa Cardiology Consultants Md Sc | Internal Medicine | 4640 N Marine Dr, Chicago, IL 60640-5719 | 2007-01-19 |
1316029499 | Sheldon L Edelson Md Sc | Internal Medicine | 4640 N Marine Dr, A6200, Chicago, IL 60640-5719 | 2006-10-19 |
1841217767 | Strauss Surgical Group Assoc, S.c. | Urology | 4640 N Marine Dr, Chicago, IL 60640-5719 | 2006-07-16 |
1912996174 | Herbert Sohn | Urology | 4640 N Marine Dr, Chicago, IL 60640-5719 | 2005-10-19 |
1477546711 | Aleksandra Ivanovic | Internal Medicine | 4640 N Marine Dr, Suite 6100c, Chicago, IL 60640-5719 | 2005-08-23 |
1043212954 | Mervyn J. Weis | Internal Medicine | 4640 N Marine Dr, Suite 6100c, Chicago, IL 60640-5719 | 2005-08-11 |
1013918804 | Muhammad As Saudye | Internal Medicine | 4640 N Marine Dr, Chicago, IL 60640-5719 | 2005-08-03 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1336754233 | Rci (wrs), LLC. | Clinic/Center | 5221-23 North Broadway, Chicago, IL 60640 | 2020-09-09 |
1548871916 | Borici Counseling LLC | Counselor | 4731 N Paulina St, Chicago, IL 60640 | 2020-08-11 |
1306319173 | Gerardo Garcia | Physician Assistant | Medical Staff Office, Weiss Memorial Hospital, 4646 N Marine Drive, Chicago, IL 60640 | 2019-01-04 |
1386121283 | Aea Optical Ventures, LLC | Clinic/Center | 4814 N Clark St, Chicago, IL 60640 | 2018-07-24 |
1023503885 | Lauren Vassiliades | Internal Medicine | Weiss Memorial Hospital, Medical Education Dpt., 4646 N. Marine Drive, C Elevators, 7th Flr. # 7100, Chicago, IL 60640 | 2018-06-25 |
1477061620 | Yesenia Vargas | Nurse Practitioner | 1025 W Sunnyside, Chicago, IL 60640 | 2018-01-22 |
1932622206 | Jasleen Kaur Brar | Internal Medicine | 4646 N. Marine Dr., Chicago, IL 60640 | 2017-07-19 |
1750802849 | Umer Mukhtar | Internal Medicine | 4646 N. Marine Dr. Med Ed Dept. C Elevators., Weiss Memorial Hospital. 7 Floor. #7100, Chicago, IL 60640 | 2017-06-29 |
1184144081 | Ellie Navidson | Registered Nurse | 1015 W Lawrence, 2nd Floor, Chicago, IL 60640 | 2017-06-21 |
1962932558 | Jennifer Stridh | Marriage & Family Therapist | 5125 N. Winthrop Ave, 1f, Chicago, IL 60640 | 2017-06-15 |
Find all providers in zip 60640 |
Taxonomy Code | 207W00000X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Ophthalmology |
An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses. |
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Ophthalmology, 2007. http://www.abop.org/. American Osteopathic Board of Ophthalmology and Otolaryngology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Ophthalmology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Ophthalmology and Otolaryngology. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1649894189 | Lakeshore Ophthalmology, LLC | Ophthalmology | 2525 S Michigan Ave Fl 8, Chicago, IL 60616-2315 | 2020-06-01 |
1053940460 | Neil L Ross | Ophthalmology | 950 N Michigan Ave Apt 5403, Chicago, IL 60611-7535 | 2020-04-07 |
1770149049 | Rop Consultants LLC | Ophthalmology | 5228 N Virginia Ave, Chicago, IL 60625-4015 | 2019-05-13 |
1962969881 | Monique Munro | Ophthalmology | 1855 W Taylor Street. Suite 3138 Illinois Eye and Infir, Chicago, IL 60612 | 2019-02-27 |
1063987345 | Chataam Optical LLC | Ophthalmology | 8741 S Greenwood Ave Ste 108, Chicago, IL 60619-7058 | 2018-10-12 |
1740717149 | Samuel Philip Burke | Ophthalmology | 1855 W Taylor St Rm 3.138, Chicago, IL 60612-7242 | 2017-05-16 |
1528430873 | Yana Kiesau M.d., LLC | Ophthalmology | 3423 N Seeley Ave, Chicago, IL 60618-6113 | 2015-10-27 |
1245619105 | Anna Mackin | Ophthalmology | 5841 S Maryland Ave # Mc 1052, Chicago, IL 60637-1447 | 2015-05-26 |
1932587656 | John Douglas Wilgucki II | Ophthalmology | 1855 W Taylor St Ste 2.50, Chicago, IL 60612-7242 | 2015-05-14 |
1609253145 | Mary Kathleen Russell | Ophthalmology | 259 E Erie St Ste 1500, Chicago, IL 60611-3111 | 2015-05-05 |
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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.