SPECTRIOS INSTITUTE FOR LOW VISION (NPI# 1033215447) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1033215447 |
| Entity Type | Organization |
| Organization Name | SPECTRIOS INSTITUTE FOR LOW VISION |
| Other Organization Name | DEICKE CENTER FOR VISUAL REHABILITATION |
| Practice Address |
219 E Cole Ave Wheaton IL 60187 |
| Practice Telephone | 6306907115 |
| Practice Fax Number | 6306909037 |
| Mailing Telephone | 6306907115 |
| Mailing Fax Number | 6306909037 |
| Enumeration Date | 2006-09-15 |
| Last Update Date | 2015-01-23 |
| Authorized Official Name | DR. R TRACY WILLIAMS (EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 6306907115 |
| Authorized Official Credential | OD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 152WL0500X |
Optometrist Specialization: Low Vision Rehabilitation |
Eye and Vision Services Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| BLUE CROSS BLUE SHIELD | 0002221432 | 01 |
| Other Name | Type Code |
|---|---|
| Deicke Center for Visual Rehabilitation | Former Legal Business Name - Organization |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | SPECTRIOS INSTITUTE FOR LOW VISION | 219 E Cole Ave, Wheaton, IL 60187-3107 |
| Street Address |
219 E COLE AVE |
| City | WHEATON |
| State | IL |
| Zip Code | 60187 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215407465 | Katrina Annalese Stratton | Occupational Therapist | 219 E Cole Ave, Wheaton, IL 60187-3107 | 2018-11-30 |
| 1427462431 | Rachel Boram Park | Optometrist | 219 E Cole Ave, Wheaton, IL 60187-3107 | 2014-06-17 |
| 1306182134 | Gregg C. Pusateri | Optometrist | 219 E Cole Ave, Wheaton, IL 60187-3107 | 2012-12-26 |
| 1295815728 | Mary Fritz Jordan | Optometrist | 219 E Cole Ave, Wheaton, IL 60187 | 2006-10-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811510738 | Arielle Susan Kalvelage | Counselor | Central Public Health Center (cphc), 111 N. County Farm Road, Wheaton, IL 60187 | 2020-05-27 |
| 1801418363 | Peter Gerard Harvey | Acupuncturist | 200 East Willow Avenue, Suite 202, Wheaton, IL 60187 | 2020-05-07 |
| 1760028823 | Teresa Clasen | Counselor | 222 Willow Ave, Wheaton, IL 60187 | 2019-11-25 |
| 1821630757 | Eastern Healing Inc. | Acupuncturist | 200 E. Willow Ave., Suite 202, Wheaton, IL 60187 | 2019-10-11 |
| 1952816282 | Caprishea Jones | Counselor | 111 N County Farm Road, Wheaton, IL 60187 | 2017-12-08 |
| 1265880330 | Bryan Cairncross | Specialist/Technologist | 1503 Beecher Ave., Wheaton, IL 60187 | 2016-05-31 |
| 1811357544 | Patricia Diaz | Nurse Practitioner | 0n620 West Street, Wheaton, IL 60187 | 2016-02-23 |
| 1962819227 | Breakthrough Care Center | Clinic/Center | 150 E. Willow Ave, Ste 100, Wheaton, IL 60187 | 2014-07-18 |
| 1780005587 | Kyler Mulhauser | Counselor | 600 W. Roosevelt Rd, Suite A2, Wheaton, IL 60187 | 2013-12-20 |
| 1538593074 | Deborah Bates | Psychologist | 300 E Roosevelt Rd Ste 105, Wheaton, IL 60187 | 2013-08-31 |
| Find all providers in zip 60187 | ||||
| Taxonomy Code | 152WL0500X |
| Grouping | Eye and Vision Services Providers |
| Classification | Optometrist |
| Specialization | Low Vision Rehabilitation |
| Optometrists who specialize in low-vision care having training to assess visual function, prescribe low-vision devices, develop treatment plans, and recommend other vision rehabilitation services. |
| Notes: Source: American Optometric Association [1/1/2009: added definition, added source] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306182134 | Gregg C. Pusateri | Optometrist | 219 E Cole Ave, Wheaton, IL 60187-3107 | 2012-12-26 |
| 1295815728 | Mary Fritz Jordan | Optometrist | 219 E Cole Ave, Wheaton, IL 60187 | 2006-10-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467791376 | Eye Solutions, PC | Optometrist | 1925 Warren St, Evanston, IL 60202-1949 | 2013-02-13 |
| 1396920153 | Sarah Lesko | Optometrist | 10527 S Avenue F, Chicago, IL 60617-6318 | 2007-12-28 |
| 1265431506 | Tazewell County Resource Centers Inc | Optometrist | 111 W Washington St, Suite 410, East Peoria, IL 61611-2532 | 2005-07-19 |
| 1568983617 | Chenyi Liu | Optometrist | 3450 Lacey Rd, Downers Grove, IL 60515 | 2017-06-29 |
| 1922540079 | Tazewell County Resource Centers, Inc. | Optometrist | 21310 State Route 9, Tremont, IL 61568-9252 | 2016-11-07 |
| 1154740744 | Michael Kevin Mccarthy | Optometrist | 5000 S 5th Ave, Bldg 113 Msc 124, Hines, IL 60141-3030 | 2014-04-10 |
| 1750566188 | The Mind-eye Connection PC | Optometrist | 1414 Techny Rd, Northbrook, IL 60062-5447 | 2008-01-03 |
| 1356360788 | Paul K. Anthony | Optometrist | 121 N Grand Ave W, Springfield, IL 62702-2562 | 2006-07-18 |
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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.