LAKESIDE EYE CLINIC INC (NPI# 1871794362) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1871794362 |
Entity Type | Organization |
Organization Name | LAKESIDE EYE CLINIC INC |
Practice Address |
104 S Michigan Ave 410 Chicago IL 60603-5902 |
Practice Telephone | 3125531818 |
Practice Fax Number | 3126415503 |
Mailing Telephone | 3125531818 |
Mailing Fax Number | 3126415503 |
Enumeration Date | 2007-05-30 |
Last Update Date | 2020-08-22 |
Authorized Official Name | MR. ERNESTO CARRASCO (PRESIDENT) |
Authorized Official Telephone | 3125531818 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 305R00000X | Preferred Provider Organization | IL | Managed Care Organizations |
Street Address |
104 S MICHIGAN AVE 410 |
City | CHICAGO |
State | IL |
Zip Code | 60603-5902 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1912958992 | Joan C Whelchel | Ophthalmology | 104 S Michigan Ave, Chicago, IL 60603-5902 | 2006-05-13 |
1750583324 | Librada M.manaligod,md.s.c | Specialist | 104 S Michigan Ave, Suite 830, Chicago, IL 60603-5902 | 2007-06-04 |
1851516660 | Kenneth Hong Gong | Family Medicine | 104 S Michigan Ave, Suite 905, Chicago, IL 60603 | 2007-04-16 |
1609907013 | Lillian Obucina | Dentist | 104 S Michigan Ave, 727, Chicago, IL 60603-5902 | 2007-03-08 |
1992747505 | Procare 4268 Yankee, L.L.C. | Pharmacy | 104 S Michigan Ave, Suite 619, Chicago, IL 60603-5902 | 2006-06-11 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1538705793 | Andrew W Rintels | Counselor | C/o Madden, Jiganti, Moore & Sinars LLP, 190 South Lasalle Street, Suite 1700, Chicago, IL 60603 | 2019-11-22 |
1679037642 | Jand. Inc. | Eyewear Supplier (Equipment, not the service) | 135 S Lasalle St, Chicago, IL 60603 | 2019-01-24 |
1609352517 | Dawn Marie Seich | Nurse Practitioner | 190 S Lasalle #2130, Chicago, IL 60603 | 2018-07-13 |
1962869396 | Claire Kacena | Chiropractor | 10 S. Lasalle, Ste 1110, Chicago, IL 60603 | 2016-01-15 |
1588043251 | Thresholds | Clinic/Center | 120 South Lasalle Street, Suite 1410, Chicago, IL 60603 | 2015-05-27 |
1508273863 | Dr. Jeffrey Jones D.c. Inc. | Chiropractor | 19 S. Lasalle St., Suite 503, Chicago, IL 60603 | 2014-07-18 |
1942614730 | Devan Mark Hite | Counselor | 8 S Michigan Ave Ste 618, Chicago, IL 60603 | 2014-06-19 |
1265846604 | Jeffrey Jones | Chiropractor | 19 S Lasalle St, 503, Chicago, IL 60603 | 2014-06-13 |
1225469208 | Amy Kelly | Marriage & Family Therapist | 67 E Madison St # 1421, Chicago, IL 60603 | 2013-12-02 |
1023443306 | Cynthia Renee Hodges | Registered Nurse | 125 S Clark 12 Th Floor, Chicago, IL 60603 | 2013-09-05 |
Find all providers in zip 60603 |
Taxonomy Code | 305R00000X |
Grouping | Managed Care Organizations |
Classification | Preferred Provider Organization |
A group of physicians and/or hospitals who contract with an employer to provide services to their employees. In a PPO, the patient may got to the physician of his/her choice, even if that physician does not participate in the PPO, but the patient receives care at a lower benefit level. |
Notes: Source: "Glossary of terms used in managed care" Developed by the Managed Care Assembly (MCA) of Medical Group Management Association (MGMA), MGM Journal, September/ October 1995, p. 62 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1972129625 | Shawnte Jenkins-alexander, Ed.d. Lcpc. Ltd | Preferred Provider Organization | 155 N Michigan Ave Ste 328, Chicago, IL 60601-7591 | 2020-06-18 |
1053876367 | Hope Network Foundation | Preferred Provider Organization | 332 S Michigan Ave Ste 10850, Chicago, IL 60604-4434 | 2019-01-31 |
1801336441 | Emily Edelman Psychotherapy, An Illinois Corporation | Preferred Provider Organization | 2100 S Marshall Blvd, Apt 804, Chicago, IL 60623-3679 | 2017-03-01 |
1417310335 | The Metro Mentorship Initiative | Preferred Provider Organization | 1828 N Lowell Ave, Chicago, IL 60639-4818 | 2016-03-29 |
1982081055 | Abc Dental PC | Preferred Provider Organization | 4608 W Diversey Ave, Chicago, IL 60639-1801 | 2015-04-28 |
1093119521 | 3 H Care Inc. | Preferred Provider Organization | 4850 S Lake Park Ave Apt 1710, Chicago, IL 60615-2073 | 2014-10-13 |
1578988937 | Joshua Allied Home Health Corporation | Preferred Provider Organization | 4250 N Marine Dr Apt 2534, Chicago, IL 60613-1741 | 2014-02-21 |
1891119590 | Rimya | Preferred Provider Organization | 2545 W Diversey Ave, Chicago, IL 60647-7172 | 2014-02-15 |
1639442536 | Park Smile Design | Preferred Provider Organization | 300 W Adams St Ste 323, Chicago, IL 60606-5107 | 2012-02-23 |
1669799813 | Body Works Health & Wellness LLC | Preferred Provider Organization | 825 W. Monroe St., Chicago, IL 60607 | 2010-04-28 |
Find all providers in CHICAGO |
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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.