EYE CARE CENTER OF LAKE COUNTY, LTD (NPI# 1952526550) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1952526550 |
| Entity Type | Organization |
| Organization Name | EYE CARE CENTER OF LAKE COUNTY, LTD |
| Practice Address |
310 S Greenleaf St Suite 209 Gurnee IL 60031-5708 |
| Practice Telephone | 8472441657 |
| Practice Fax Number | 8472445122 |
| Mailing Telephone | 8472441657 |
| Mailing Fax Number | 8472445122 |
| Enumeration Date | 2007-04-17 |
| Last Update Date | 2015-02-02 |
| Authorized Official Name | STEVEN D REINGLASS (OWNER/PRESIDENT) |
| Authorized Official Telephone | 8472441657 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 152W00000X | Optometrist | 046009099 | IL | Eye and Vision Services Providers |
| N | 152W00000X | Optometrist | 046007910 | IL | Eye and Vision Services Providers |
| N | 207W00000X | Ophthalmology | 036067575 | IL | Allopathic & Osteopathic Physicians |
| N | 207W00000X | Ophthalmology | 036135571 | IL | Allopathic & Osteopathic Physicians |
| Y | 332B00000X | Durable Medical Equipment & Medical Supplies | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IL | BLUE CROSS - BLUE SHIELD | 04915265 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932507902 | Eye Care Center of Lake County, Ltd | Optometrist | 310 S Greenleaf St, Suite 209, Gurnee, IL 60031-5708 | 2014-12-08 |
| 1720202559 | Eye Care Center of Lake County, Ltd | Durable Medical Equipment & Medical Supplies | 310 S Greenleaf St, Suite 209, Gurnee, IL 60031-5708 | 2007-04-12 |
| 1649307737 | Eye Care Center of Lake County, Ltd | Ophthalmology | 310 S Greenleaf St, Suite 209, Gurnee, IL 60031-5708 | 2007-02-27 |
| Street Address |
310 S GREENLEAF ST SUITE 209 |
| City | GURNEE |
| State | IL |
| Zip Code | 60031-5708 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841258266 | Ahmed Hashim | Specialist | 310 S Greenleaf St, Suite 212, Gurnee, IL 60031-5708 | 2006-05-03 |
| 1922557370 | Rochie Estrella | Registered Nurse | 310 S Greenleaf St, Ste 212, Gurnee, IL 60031-5708 | 2016-09-27 |
| 1578931739 | Kartor Business Group LLC | Chiropractor | 310 S Greenleaf St, Suite 208, Gurnee, IL 60031-5708 | 2015-09-04 |
| 1932507902 | Eye Care Center of Lake County, Ltd | Optometrist | 310 S Greenleaf St, Suite 209, Gurnee, IL 60031-5708 | 2014-12-08 |
| 1487065447 | Delany Dental Care | Dentist | 310 S Greenleaf St, Suite 201, Gurnee, IL 60031-5708 | 2014-05-13 |
| 1891099420 | Christine Marie Mata | Ophthalmology | 310 S Greenleaf St, Suite 209, Gurnee, IL 60031-5708 | 2010-12-21 |
| 1457584450 | North Lake Cardiovascular Center PC | Internal Medicine | 310 S Greenleaf St, Suite 212, Gurnee, IL 60031-5708 | 2009-08-25 |
| 1184804965 | Physical Therapy of Gurnee Inc | Physical Therapist | 310 S Greenleaf St, Suite 207, Gurnee, IL 60031-5708 | 2007-11-08 |
| 1235337031 | Monica B Kurzawa | Optometrist | 310 S Greenleaf St, Suite 209, Gurnee, IL 60031-5708 | 2007-07-03 |
| 1720202559 | Eye Care Center of Lake County, Ltd | Durable Medical Equipment & Medical Supplies | 310 S Greenleaf St, Suite 209, Gurnee, IL 60031-5708 | 2007-04-12 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881174720 | Rockelle Waggoner | Behavioral Analyst | 489 Tanglewood Dr, Gurnee, IL 60031 | 2018-08-20 |
| 1316434376 | Lake County Internal Medicine Assoc LLC | Non-Pharmacy Dispensing Site | 15 Tower Ct., Ste 190, Gurnee, IL 60031 | 2018-04-16 |
| 1588163364 | Advanced Endodontics, PC | Dentist | 103 S. Greenleaf Street, Suite K, Gurnee, IL 60031 | 2018-02-07 |
| 1578081550 | Northshore Medical Consultants, Ltd | Family Medicine | 1425 Hunt Club Rd. #302, Gurnee, IL 60031 | 2017-08-30 |
| 1336678739 | Sarah Beth Fugelseth | Nurse Practitioner | 1445 N Hunt Club Rd Ste 304, Gurnee, IL 60031 | 2017-06-08 |
| 1174079867 | Lifecarepros, LLC | In Home Supportive Care | 223 North Route 21, Gurnee, IL 60031 | 2016-09-01 |
| 1740733195 | Ryan Lee Winslow | Chiropractor | 6021 Washington St, Unit B, Gurnee, IL 60031 | 2016-08-02 |
| 1891129599 | Smart Scan Mri, LLC | Clinic/Center | 350 S. Greenleaf, Suite 401, Gurnee, IL 60031 | 2013-08-29 |
| 1568720076 | Yudelca Romano | Genetic Counselor, MS | 1125 Tri State Parkway, Gurnee, IL 60031 | 2012-05-03 |
| 1558637348 | Laura E Novak | Social Worker | 4212 Old Grand Avenue, Gurnne, IL 60031 | 2012-03-27 |
| Find all providers in zip 60031 | ||||
| Taxonomy Code | 332B00000X |
| Grouping | Suppliers |
| Classification | Durable Medical Equipment & Medical Supplies |
| A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient’s use in the home and that are usable for an extended period of time. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619116415 | Balanced Living Chiropractic & Wellness Center, Ltd | Durable Medical Equipment & Medical Supplies | 495 N Riverside Dr Ste 102, Gurnee, IL 60031-5919 | 2009-02-18 |
| 1184758609 | Steele Surgical Supply Company | Durable Medical Equipment & Medical Supplies | 4250 Lee Ave, Gurnee, IL 60031-2141 | 2007-03-15 |
| 1679647523 | Hanger Prosthetics & Orthotics East Inc | Durable Medical Equipment & Medical Supplies | 35 Tower Ct Ste C, Suite C, Gurnee, IL 60031 | 2006-11-20 |
| 1306852785 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 4830 Grand Ave, Gurnee, IL 60031-2618 | 2006-07-31 |
| 1538181342 | Highland Park Cvs LLC | Durable Medical Equipment & Medical Supplies | 6601 Grand Ave, Gurnee, IL 60031-4591 | 2006-07-24 |
| 1306863691 | Sam's West, Inc. | Durable Medical Equipment & Medical Supplies | 6570 Grand Ave, Gurnee, IL 60031-1621 | 2006-07-16 |
| 1386661650 | Walmart Inc. | Durable Medical Equipment & Medical Supplies | 6590 Grand Ave, Gurnee, IL 60031-1621 | 2006-07-16 |
| 1760411508 | Ruby America, Inc. | Durable Medical Equipment & Medical Supplies | 3900 Washington St, Suite V, Gurnee, IL 60031-5717 | 2006-07-02 |
| 1285680967 | American Drug Stores LLC | Durable Medical Equipment & Medical Supplies | 6507 Grand Ave, Gurnee, IL 60031 | 2006-05-25 |
| 1417384306 | Waukegan Clinic Corp | Durable Medical Equipment & Medical Supplies | 202 S Greenleaf St, Suite E, Gurnee, IL 60031-3399 | 2013-10-09 |
| Find all providers in GURNEE | ||||
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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.