Randall D Kittle (NPI# 1871763839, PAC ID# 2466524350) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is OPTOMETRY.
| Nation Provider ID (NPI) | 1871763839 |
| PAC ID by PECOS | 2466524350 |
| Professional Enrollment ID | I20080709000711 |
| Full Name | Randall D Kittle |
| Organization Legal Name | PRIMARY EYE CARE CENTERS PC |
| Address |
One N Virginia St Crystal Lake IL 60014-4157 |
| Phone Number | 8154559393 |
| Gender | M |
| Medical School | ILLINOIS COLLEGE OF OPTOMETRY AT CHICAGO |
| Graduation Year | 1981 |
| Primary Specialty | OPTOMETRY |
| Group Practice PAC ID | 7416966114 |
| Number of Group Practice Members | 10 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| One N Virginia St, Crystal Lake, IL 60014-4157 | 8154559393 | PRIMARY EYE CARE CENTERS PC |
| 1603 N Alpine Rd, Suite 121, Rockford, IL 61107-1439 | 8153975959 | PRIMARY EYE CARE CENTERS PC |
| Organization Legal Name | PRIMARY EYE CARE CENTERS PC |
| Physicians | 9 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Richard E Anderson | Optometry | Primary Eye Care Centers PC | One N Virginia St, Crystal Lake, IL 60014-4157 |
| Roger H Hill | Optometry | Primary Eye Care Centers PC | 1603 N Alpine Rd, Suite 121, Rockford, IL 61107-1439 |
| Vasana Lerdvoratavee | Optometry | Primary Eye Care Centers PC | 1603 N Alpine Rd, Suite 121, Rockford, IL 61107-1439 |
| Irina Rutkowski | Optometry | Primary Eye Care Centers PC | One N Virginia St, Crystal Lake, IL 60014-4157 |
| William C Hillmann | Optometry | Primary Eye Care Centers PC | One N Virginia St, Crystal Lake, IL 60014-4157 |
| William Allen Watson | Optometry | Primary Eye Care Centers PC | One N Virginia St, Crystal Lake, IL 60014-4157 |
| Ronald Weingart | Optometry | Primary Eye Care Centers PC | 1603 N Alpine Rd, Suite 121, Rockford, IL 61107-1439 |
| Erika K Cleland | Optometry | Primary Eye Care Centers PC | One N Virginia St, Crystal Lake, IL 60014-4157 |
| Street Address |
ONE N VIRGINIA ST |
| City | CRYSTAL LAKE |
| State | IL |
| Zip | 60014-4157 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Richard E Anderson | Optometry | Primary Eye Care Centers PC | One N Virginia St, Crystal Lake, IL 60014-4157 |
| Irina Rutkowski | Optometry | Primary Eye Care Centers PC | One N Virginia St, Crystal Lake, IL 60014-4157 |
| William C Hillmann | Optometry | Primary Eye Care Centers PC | One N Virginia St, Crystal Lake, IL 60014-4157 |
| William Allen Watson | Optometry | Primary Eye Care Centers PC | One N Virginia St, Crystal Lake, IL 60014-4157 |
| Erika K Cleland | Optometry | Primary Eye Care Centers PC | One N Virginia St, Crystal Lake, IL 60014-4157 |
| Diana Li | Optometry | Primary Eye Care Centers, PC | One N Virginia St, Crystal Lake, IL 60014-4157 |
| Young Hee Lee | Optometry | Primary Eye Care Centers, PC | One N Virginia St, Crystal Lake, IL 60014-4157 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Michael Socha | Chiropractic | 435 Angela Ln, Suite 19, Crystal Lake, IL 60014-1074 | |
| Mark D Lagerkvist | Chiropractic | Chiro One Wellness Center of Crystal Lake Sc | 435 Angela Ln, Suite 19, Crystal Lake, IL 60014-1074 |
| Michael T Burns | Psychologist, Clinical | 610 Crystal Point Dr, Suite 3, Crystal Lake, IL 60014-1400 | |
| Kenneth E Heinrichs | Psychologist, Clinical | 755 E Mcardle Dr, Suite E, Crystal Lake, IL 60014-1717 | |
| Katherine A Galias | Nurse Practitioner | Family Medicine for Mchenry County | 1095 Pingree Rd, Suite 108, Crystal Lake, IL 60014-1726 |
| Susan G Swanson | Nurse Practitioner | Family Medicine for Mchenry County | 1095 Pingree Rd, Suite 108, Crystal Lake, IL 60014-1726 |
| Christy A Benton | Nurse Practitioner | Family Medicine for Mchenry County | 1095 Pingree Rd, Suite 108, Crystal Lake, IL 60014-1726 |
| Roseann C Iverson | Nurse Practitioner | Family Medicine for Mchenry County | 1095 Pingree Rd, Suite 108, Crystal Lake, IL 60014-1726 |
| Cynthia G Macdonald | Nurse Practitioner | Family Medicine for Mchenry County | 1095 Pingree Rd, Suite 108, Crystal Lake, IL 60014-1726 |
| Michael S Lesser | Family Medicine | Family Medicine for Mchenry County | 1095 Pingree Rd, Suite 108, Crystal Lake, IL 60014-1726 |
| Find all physicians in zip 60014 | |||
| City | CRYSTAL LAKE |
| Zip Code | 60014 |
| Specialty | OPTOMETRY |
| City + Specialty | CRYSTAL LAKE + OPTOMETRY |
Please comment or provide details below to improve the information on Randall D Kittle.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.