FOR EYES OPTICAL OF PA (NPI# 1932257557) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1932257557 |
Entity Type | Organization |
Organization Name | FOR EYES OPTICAL OF PA |
Other Organization Name | FOR EYES |
Practice Address |
122 Broadview Village Sq Broadview IL 60155-4874 |
Mailing Address |
3601 Sw 160th Ave Ste 400 Miramar FL 33027-6312 |
Practice Telephone | 7083432020 |
Practice Fax Number | 7083432081 |
Mailing Telephone | 3055579004 |
Enumeration Date | 2007-01-08 |
Last Update Date | 2020-02-26 |
NPI Deactivation Date | 07/15/2013 |
NPI Reactivation Date | 2013-08-02 |
Authorized Official Name | KIM GRIFFIN (MANAGER) |
Authorized Official Telephone | 3055579004 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 332H00000X | Eyewear Supplier (Equipment, not the service) | Suppliers |
Other Name | Type Code |
---|---|
For Eyes | Doing Business As Name - Organization |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1417412842 | For Eyes Optical of Pa | Optometrist | 1300-a Worcester St, Sherwood Plaza, Plaza Suite 11, Natick, MA 01760 | 2019-02-11 |
1841764669 | For Eyes Optical of Pa | Optometrist | 1211 W Lancaster Ave, Rosemont, PA 19010 | 2019-01-15 |
1497229215 | For Eyes Optical of Pa | Optometrist | 17 W 412-414 22nd St, Ste M&n, Oakbrook Terrace, IL 60181 | 2019-01-15 |
1710451539 | For Eyes Optical of Pa | Optometrist | 186 West Street Road, Feasterville, PA 19053 | 2019-01-15 |
1770057762 | For Eyes Optical of Pa | Optometrist | 271 W Townline Rd Ste 120, Vernon Hills, IL 60061-4333 | 2019-01-14 |
1588138457 | For Eyes Optical of Pa | Optometrist | 10010 Reisterstown Rd Ste 46, Owings Mills, MD 21117-4158 | 2019-01-14 |
1205310299 | For Eyes Optical of Pa | Eyewear Supplier (Equipment, not the service) | 610 Cross Keys Rd, Sicklerville, NJ 08081-9580 | 2018-09-17 |
1487143400 | For Eyes Optical of Pa | Eyewear Supplier (Equipment, not the service) | 7984 Honeygo Blvd, Nottingham, MD 21236 | 2018-05-04 |
1255523411 | For Eyes Optical of Pa | Eyewear Supplier (Equipment, not the service) | 2 Wayside Rd, Unit 2g, Burlington, MA 01803 | 2007-08-13 |
1962613893 | For Eyes Optical of Pa | Eyewear Supplier (Equipment, not the service) | 271 West Townline Rd, Unit 120, Vernon Hills, IL 60061 | 2007-05-24 |
Street Address |
122 BROADVIEW VILLAGE SQ |
City | BROADVIEW |
State | IL |
Zip Code | 60155-4874 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1487605762 | Teresa Beth Eide | Optometrist | 122 Broadview Village Sq, Broadview, IL 60155-4874 | 2006-05-12 |
1861966848 | For Eyes Optical of Pa | Optometrist | 122 Broadview Village Sq, Broadview, IL 60155-4874 | 2019-01-14 |
1003093857 | Victoria Alfafara | Optometrist | 122 Broadview Village Sq, Broadview, IL 60155-4874 | 2008-01-23 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1790176121 | Healthcare Alternative Systems, Inc. | Clinic/Center | 1915-17 W. Roosevelt Rd., Broadview, IL 60155 | 2015-02-06 |
1821379736 | Living Healthy Inc | Registered Nurse | 2205 W Roosevelt Road, Broadview, IL 60155 | 2011-09-06 |
1023324530 | Erin Reynolds | Nurse Practitioner | 800 Broadview Village Square, Broadview, IL 60155 | 2010-08-20 |
1285862490 | Patricia M Moser Od PC | Optometrist | 122-24 Broadview Village Square, Broadview, IL 60155 | 2009-06-25 |
1295762417 | Kiran Ram Bais | Family Medicine | 2127 S 17th Ave, Broadview, IL 60155 | 2006-06-26 |
1982092698 | Tiffany R Budzinski | Nurse Practitioner | 800 Broadview Village Square, Broadview, IL 60155 | 2015-01-05 |
1760789853 | Athletic and Therapeutic Institute of Naperville, LLC | Physical Therapist | 7000 Broadview Village Sq, Broadview, IL 60155-2600 | 2011-02-25 |
1083121263 | Lisa A Ufkes | Physical Therapist | 7000 Broadview Village Sq, Broadview, IL 60155-2600 | 2018-01-09 |
1093720203 | Walgreen Co | Pharmacy | 8000 Broadview Village Sq, Broadview, IL 60155-2601 | 2006-07-29 |
1467739904 | Brian Kubeczko | Pharmacist | 8000 Broadview Village Sq, Broadview, IL 60155-2601 | 2011-11-11 |
Find all providers in zip 60155 |
Taxonomy Code | 332H00000X |
Grouping | Suppliers |
Classification | Eyewear Supplier (Equipment, not the service) |
An organization that provides spectacles, contact lenses, and other vision enhancement devices prescribed by an optometrist or ophthalmologist. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1619020211 | Luxottica Retail North America Inc | Eyewear Supplier (Equipment, not the service) | 800 Broadview Village Sq, Broadview, IL 60155-4887 | 2007-01-19 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1174138168 | Shoptikal LLC | Eyewear Supplier (Equipment, not the service) | 1550 W Lane Rd, Machesney Park, IL 61115-1903 | 2020-09-15 |
1588279566 | Shoptikal LLC | Eyewear Supplier (Equipment, not the service) | 1190 S Randall Rd Ste 104, Elgin, IL 60123-4110 | 2020-09-15 |
1972129294 | Luxottica Retail North America, Inc | Eyewear Supplier (Equipment, not the service) | 900 W North Ave, Chicago, IL 60642-2506 | 2020-06-23 |
1710512801 | Shoptikal LLC | Eyewear Supplier (Equipment, not the service) | 9940 Rt 47, Huntley, IL 60142 | 2020-03-09 |
1710512488 | Glasses On Oak St | Eyewear Supplier (Equipment, not the service) | 900 N Michigan Ave Fl 5, Chicago, IL 60611-1542 | 2020-03-03 |
1861026890 | Luxottica of America Inc. | Eyewear Supplier (Equipment, not the service) | 5300 Northwest Hwy, Crystal Lake, IL 60014-8072 | 2020-02-28 |
1952935181 | Jand. Inc. | Eyewear Supplier (Equipment, not the service) | 4999 Old Orchard Ctr Ste J4, Skokie, IL 60077-1450 | 2020-02-26 |
1194355917 | Fr Vision 360, Inc. | Eyewear Supplier (Equipment, not the service) | 111 E Morton Ave, Jacksonville, IL 62650-3059 | 2020-01-21 |
1114567443 | Shoptikal LLC | Eyewear Supplier (Equipment, not the service) | 6215 Northwest Hwy, Crystal Lake, IL 60014-7932 | 2020-01-15 |
1841833399 | Luxottica of America Inc. | Eyewear Supplier (Equipment, not the service) | Milwaukee Ave & E Towline Rd #e1600, Vernon Hills, IL 60061 | 2019-10-28 |
Find all providers with the same taxonomy |
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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.