NORTHEWESTERN OPTHALMIC INSTITUTE (NPI# 1881754570) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1881754570 |
| Entity Type | Organization |
| Organization Name | NORTHEWESTERN OPTHALMIC INSTITUTE |
| Practice Address |
3633 West Lake Avenue Suite 104 Glenview IL 60026 |
| Practice Telephone | 8478323900 |
| Practice Fax Number | 8478323904 |
| Mailing Telephone | 8478323900 |
| Mailing Fax Number | 8478323904 |
| Enumeration Date | 2006-12-11 |
| Last Update Date | 2013-03-15 |
| Authorized Official Name | DR. THOMAS E BOURNIAS (DR) |
| Authorized Official Telephone | 8478323900 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207W00000X | Ophthalmology | 36093343 | IL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IL | 036093343 | 05 | |
| IL | AETNA | 7797487 | 01 |
| Street Address |
3633 WEST LAKE AVENUE SUITE 104 |
| City | GLENVIEW |
| State | IL |
| Zip Code | 60026 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982783197 | Joann Hughes Brennan | Physical Therapist | 3633 West Lake Avenue, Suite 102 Medcare, Glenview, IL 60026 | 2006-11-06 |
| 1376605964 | John Michael Wieland | Internal Medicine | 3633 West Lake Avenue, Suite 307, Glenview, IL 60026 | 2006-12-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093322091 | Aven Dones | Occupational Therapy Assistant | 2600 W Compass Dr, Glenview, IL 60026 | 2020-09-24 |
| 1528670692 | Help and Healing Center LLC | Psychologist | 2500 Patriot Boulevard, Suite 250, Glenview, IL 60026 | 2020-08-20 |
| 1487288577 | Susan D Taylor | Physical Therapy Assistant | Select Rehabilitation, Lls, 2600 Compass Road, Glenview, IL 60026 | 2020-02-27 |
| 1952868135 | Beltone Holdings IIi, Inc. | Hearing Instrument Specialist | 2601 Patriot Boulevard, Attn: Lisa Ginensky, Glenview, IL 60026 | 2019-02-25 |
| 1588145007 | Trislyn Deett Palmer | Occupational Therapist | Select Rehab, 2600 Compass Road, Glenview, IL 60026 | 2018-08-23 |
| 1528579901 | Julia Elizabeth Sames | Physician Assistant | 2701 Patriot Blvd Ste 110, Glenview, IL 60026 | 2017-10-12 |
| 1316474711 | Tru Impact Healthcare Sc | Internal Medicine | 2150 Pfingsten Rd Ste 2200, Glenview, IL 60026 | 2017-05-16 |
| 1700251519 | Okoon Psychology Group PC | Clinical Neuropsychologist | 3633 W. Lake Avenue, Suite 406, Evanston, IL 60026 | 2015-12-04 |
| 1497136642 | Nayantara S. Orekondy | Internal Medicine | 2100 Pfingsten Rd # 3001a, Glenview, IL 60026 | 2015-06-13 |
| 1154745792 | Eleanor Finney Vita | Occupational Therapist | 3703 W. Lake Ave, Suite 200, Glenview, IL 60026 | 2014-02-18 |
| Find all providers in zip 60026 | ||||
| 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 |
|---|---|---|---|---|
| 1508960816 | Svetlana Tsipursky | Ophthalmology | 2640 Golf Rd, St 120, Glenview, IL 60025 | 2006-09-08 |
| 1164524021 | David J. Palmer, M.d., S.c. | Ophthalmology | 3633 W Lake Avenue, Suite 301, Glenview, IL 60026-5803 | 2006-09-02 |
| 1366458275 | Adam J Cohen | Ophthalmology | 2591 Compass Rd, Suite 115, Glenview, IL 60026-8043 | 2006-07-31 |
| 1912930322 | Madhu S.r. Gorla | Ophthalmology | 2640 Patriot Blvd, Suite 100, Glenview, IL 60026-8075 | 2006-07-09 |
| 1356373880 | Manvi P Maker | Ophthalmology | 2050 Pfingsten Road, Suite 280, Glenview, IL 60026 | 2006-07-07 |
| 1326028572 | Orrin M Scheff | Ophthalmology | 904 Waukegan Rd, Glenview, IL 60025-4315 | 2006-01-21 |
| 1245215060 | David J Palmer | Ophthalmology | 2701 Patriot Blvd, Glenview, IL 60026-8039 | 2005-12-14 |
| 1598019440 | North Shore Eye Consultants Ltd | Ophthalmology | 2440 Ravine Way, Suite 500, Glenview, IL 60025-7647 | 2012-10-30 |
| 1134381890 | Minou W.colis M.d.s.c | Ophthalmology | 2440 Ravine Way, Suite 600, Glenview, IL 60025-7648 | 2008-06-25 |
| 1639361504 | Doctor Charles D Mullenix Md Sc | Ophthalmology | 1775 Glenview Rd, Suite 114, Glenview, IL 60025-2975 | 2007-08-15 |
| Find all providers in GLENVIEW | ||||
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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.