ADULT AND PEDIATRIC EYE SPECIALISTS CORP (NPI# 1871880112) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1871880112 |
| Entity Type | Organization |
| Organization Name | ADULT AND PEDIATRIC EYE SPECIALISTS CORP |
| Practice Address |
509 Ridge Rd Suite #3 Munster IN 46321-1643 |
| Mailing Address |
9336 Falling Waters Dr W Burr Ridge IL 60527-6889 |
| Practice Telephone | 2198369800 |
| Enumeration Date | 2011-07-07 |
| Last Update Date | 2011-07-29 |
| Authorized Official Name | MOHAMMAD AL-KHUDARI (OWNER) |
| Authorized Official Telephone | 2198369800 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207W00000X | Ophthalmology | Allopathic & Osteopathic Physicians |
| Street Address |
509 RIDGE RD SUITE #3 |
| City | MUNSTER |
| State | IN |
| Zip Code | 46321-1643 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700992625 | Terry Wayne Ebert | Specialist | 509 Ridge Rd, Suite 1, Munster, IN 46321-1643 | 2006-08-22 |
| 1255755245 | Stand Up Open Mri of Indiana LLC | Clinic/Center | 509 Ridge Rd, Munster, IN 46321-1643 | 2014-02-11 |
| 1417173717 | Terry Ebert, Md, Inc | Clinic/Center | 509 Ridge Rd, Suite 1, Munster, IN 46321-1643 | 2007-04-17 |
| 1972646461 | David M Radovich | Dentist | 509 Ridge Rd, Munster, IN 46321-1643 | 2007-02-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154959179 | Munster Surgery Center LLC | Clinic/Center | 1950 45thstreet, Unit 101, Munster, IN 46321 | 2020-03-27 |
| 1467092668 | Barbara Armstrong-whitaker | Counselor | 8855 Columbia Ave, Munster, IN 46321 | 2020-01-15 |
| 1427537661 | Courtney Szydelko | Physical Therapist | 759 45th St Ste 202, Munster, IN 46321 | 2018-08-08 |
| 1407341787 | New Harvest Therapy Services, Inc. | Clinic/Center | 8124 Calumet Ave Ste B, Munster, IN 46321 | 2018-06-28 |
| 1043717945 | Region Eye Care LLC | Optometrist | 10413 Calumet Ave., Munster, IN 46321 | 2018-04-09 |
| 1003318122 | Jean M Nanos | Psychologist | 8124 Calumet Ave, Munster, IN 46321 | 2018-03-05 |
| 1841706330 | Avalon Marciniak | Speech-Language Pathologist | 1950 West 45th St., Munster, IN 46321 | 2017-12-19 |
| 1104330034 | Hinsdale Orthopaedic Associates, S.c. | Orthopaedic Surgery | 8141 S Calumet Ave, Unit 1, Munster, IN 46321 | 2017-11-30 |
| 1457871774 | Shannon Nicole Riley | Behavior Technician | 8113 Howard Ave., Munster, IN 46321 | 2017-06-27 |
| 1679017313 | Infomedica | Internal Medicine | 10010 Donald S Powers Dr, Munster, IN 46321 | 2016-12-15 |
| Find all providers in zip 46321 | ||||
| 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 |
|---|---|---|---|---|
| 1649665241 | Kevin Bubel | Ophthalmology | 759 45th St Ste 101, Munster, IN 46321-2939 | 2015-03-31 |
| 1144322249 | Fredric D Young | Ophthalmology | 1646 45th Ave, Munster, IN 46321-3914 | 2006-09-01 |
| 1013992411 | Derek J Dawson | Ophthalmology | 8256 Hohman Ave, Munster, IN 46321-1516 | 2005-12-08 |
| 1013910223 | Binh Quy Nguyen | Ophthalmology | 759 45th Ave, Ste 101, Munster, IN 46321-2938 | 2005-05-23 |
| 1417950619 | Larry Howard Wolff | Ophthalmology | 701 Superior Ave, Suite A, Munster, IN 46321-4037 | 2005-05-23 |
| 1558644476 | D J Dawson Md Incorporated | Ophthalmology | 8256 Hohman Ave, Munster, IN 46321-1516 | 2011-09-27 |
| 1427215128 | Jason Andrew Brooks | Ophthalmology | 759 45th Ave, Suite 101, Munster, IN 46321-2938 | 2008-05-20 |
| 1891884078 | Suzanne Yookyung Lee | Ophthalmology | 759 45th Ave, Suite 101, Munster, IN 46321-2938 | 2006-10-12 |
| 1437105996 | Rand Diab | Ophthalmology | 7905 Calumet Ave, Munster, IN 46321-2549 | 2006-05-26 |
| 1730141037 | Munster Eye Care Associates, P.C. | Ophthalmology | 759 45th Ave, Suite 101, Munster, IN 46321-2938 | 2006-04-04 |
| Find all providers in MUNSTER | ||||
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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.