DR. JEFFREY SCOTT PORTER (NPI# 1982747507) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1982747507 |
| Entity Type | Individual |
| Full Name | DR. JEFFREY SCOTT PORTER |
| Credential | O.D. |
| Practice Address |
1205 S Il Route 31 Crystal Lake IL 60014-8213 |
| Mailing Address |
3912 Valley View Rd Crystal Lake IL 60012-2104 |
| Practice Telephone | 8154774053 |
| Practice Fax Number | 8154774302 |
| Mailing Telephone | 8473238501 |
| Mailing Fax Number | 3127813527 |
| Enumeration Date | 2007-02-14 |
| Last Update Date | 2020-08-20 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 152W00000X | Optometrist | 046.008991 | IL | Eye and Vision Services Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780696658 | Jeffrey D Porter | Chiropractor | 919 N Dysart Rd, Avondale, AZ 85323-1711 | 2006-08-12 |
| 1477901023 | Jeffrey Porter | Registered Nurse | 5325 Faraon St, Saint Joseph, MO 64506-3488 | 2016-05-24 |
| 1801135165 | Jeffrey Torrelle Porter | Counselor | 2711 W 15th St, Panama City, FL 32401-1366 | 2013-02-06 |
| 1194022046 | Jeffrey S Porter | Nurse Practitioner | 5200 Centre Ave, Pittsburgh, PA 15232-1300 | 2011-02-11 |
| 1043488901 | Jeffrey Lee Porter | Dentist | 201 Bridge Park Drive, Charlevoix, MI 49720-1381 | 2008-02-13 |
| 1033261813 | Jeffrey Lynn Porter | Specialist/Technologist | 755 Hank Aaron Dr Sw, Atlanta, GA 30315-1120 | 2007-01-18 |
| 1588633366 | Jeffrey F. Porter | Psychologist | 145 Michigan St Ne Ste 3100, Grand Rapids, MI 49503-2563 | 2006-03-15 |
| 1164496345 | Jeffrey Sam Porter | Emergency Medicine | 523 N 3rd St, Brainerd, MN 56401-3054 | 2006-02-15 |
| Street Address |
1205 S IL ROUTE 31 |
| City | CRYSTAL LAKE |
| State | IL |
| Zip Code | 60014-8213 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932126208 | Walmart Inc. | Durable Medical Equipment & Medical Supplies | 1205 S Il Route 31, Crystal Lake, IL 60014-8213 | 2006-07-16 |
| 1609476563 | Nishath Chaudhury | Pharmacist | 1205 S Il Route 31, Crystal Lake, IL 60014-8213 | 2020-10-29 |
| 1417557596 | Seir Fen Davidson | Pharmacist | 1205 S Il Route 31, Crystal Lake, IL 60014-8213 | 2020-10-28 |
| 1356525489 | Jeffrey S Porter Od PC | Optometrist | 1205 S Il Route 31, Crystal Lake, IL 60014-8213 | 2007-12-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497394720 | Lorelei Mariano | Physical Therapist | 350 E Congress Parkway Ste A, Crystal Lake, IL 60014 | 2020-01-03 |
| 1396227070 | Behavioral Services for Autism, Inc | Behavioral Analyst | 1095 Pingree Road, Suite 204, Crystal Lake, IL 60014 | 2018-08-30 |
| 1831635564 | Isis Mendoza-garnica | Counselor | 6803 Rose Ave, Crystal Lake, IL 60014 | 2017-01-19 |
| 1134664402 | Derick Dermatology, LLC | Non-Pharmacy Dispensing Site | 525 E Congress Parkway, Suite 200, Crystal Lake, IL 60014 | 2016-12-22 |
| 1306394051 | Highland Park Cvs, L.L.C. | Durable Medical Equipment & Medical Supplies | 177 W Virginia Street, Crystal Lake, IL 60014 | 2016-09-12 |
| 1124492830 | Align Spine & Orthopaedics | Durable Medical Equipment & Medical Supplies | 60 B West Terra Cotta Ave, #265, Crystal Lake, IL 60014 | 2015-11-18 |
| 1558747428 | Shabana Nawaz | Optometrist | 4777 Northwest Highway, Crystal Lake, IL 60014 | 2015-08-03 |
| 1548649205 | Daniel Okon | Social Worker | 304 Charllote Ave, Crystal Lake, IL 60014 | 2015-05-27 |
| 1154729838 | Crystal Lake Center for Chronic Pain Sc | Nurse Practitioner | 1 South Northwest Highway, Crystal Lake, IL 60014 | 2014-12-12 |
| 1558763581 | Brooke Nicole Grandt | Occupational Therapist | 394 Heisler Ct, Crystal Lake, IL 60014 | 2014-09-22 |
| Find all providers in zip 60014 | ||||
| Taxonomy Code | 152W00000X |
| Grouping | Eye and Vision Services Providers |
| Classification | Optometrist |
| Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system. |
| Notes: Source: American Optometric Association (AOA), approved by the AOA’s Board of Trustees, June 21, 2005. [7/1/2006: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164037495 | Brett David Freitag | Optometrist | 5006 Northwest Hwy, Crystal Lake, IL 60014-7339 | 2020-09-14 |
| 1568813434 | Jeffrey Scott | Optometrist | 820 E Terra Cotta Ave Ste 256, Crystal Lake, IL 60014-3655 | 2016-06-22 |
| 1558747428 | Shabana Nawaz | Optometrist | 4777 Northwest Highway, Crystal Lake, IL 60014 | 2015-08-03 |
| 1740577956 | Erika Kristine Cleland | Optometrist | 1 N Virginia St, Crystal Lake, IL 60014-4157 | 2011-07-08 |
| 1295032761 | Dr. Richard Surowiak Inc | Optometrist | 6219 Northwest Hwy, Crystal Lake, IL 60014-7932 | 2011-02-18 |
| 1013158674 | Payal Patel | Optometrist | 5765 Northwest Hwy, Visionworks, Crystal Lake, IL 60014-8042 | 2009-03-11 |
| 1679721591 | Eye Boutique Inc | Optometrist | 5005 Northwest Hwy, Crystal Lake, IL 60014-7330 | 2008-09-04 |
| 1356503403 | John James O'neill | Optometrist | 4002 Wyndwood Dr, Crystal Lake, IL 60014-6545 | 2008-06-30 |
| 1104957828 | Ziva Optical II, Ltd. | Optometrist | 4777 Northwest Hwy, Suite D, Crystal Lake, IL 60014-7340 | 2007-03-07 |
| 1811040983 | Richard Joseph Surowiak | Optometrist | 6314 Northwest Hwy, Crystal Lake, IL 60014-7935 | 2007-01-19 |
| Find all providers in CRYSTAL LAKE | ||||
| City | CRYSTAL LAKE |
| Zip Code | 60014 |
Please comment or provide details below to improve the information on DR. JEFFREY SCOTT PORTER.
| 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.