DR. JENNIFER MAUREEN LYDON (NPI# 1053833665) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053833665 |
| Entity Type | Individual |
| Full Name | DR. JENNIFER MAUREEN LYDON |
| Credential | OD |
| Practice Address |
16205 Harlem Ave Ste B Tinley Park IL 60477-1682 |
| Mailing Address |
3508 Nicolette Dr Crete IL 60417-1343 |
| Practice Telephone | 7086149301 |
| Mailing Telephone | 7086067571 |
| Enumeration Date | 2017-07-14 |
| Last Update Date | 2017-07-14 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 152W00000X | Optometrist | 046011130 | IL | Eye and Vision Services Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962986695 | Jennifer Lydon | Social Worker | 1000 Albion Road, Bedford, MA 01730-0173 | 2018-09-19 |
| Street Address |
16205 HARLEM AVE STE B |
| City | TINLEY PARK |
| State | IL |
| Zip Code | 60477-1682 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447287875 | America's Best Contacts & Eyeglasses | Eyewear Supplier (Equipment, not the service) | 16205 Harlem Ave Ste B, Tinley Park, IL 60477-1682 | 2006-06-28 |
| 1275157125 | Shurouq Omari | Optometrist | 16205 Harlem Ave Ste B, Tinley Park, IL 60477-1682 | 2020-06-05 |
| 1467918854 | Khai Van | Optometrist | 16205 Harlem Ave Ste B, Tinley Park, IL 60477-1682 | 2019-02-11 |
| 1871689737 | Stewart C Knoop Jr. | Optometrist | 16205 Harlem Ave Ste B, Tinley Park, IL 60477-1682 | 2006-10-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013522366 | Joshua Gruenke | Physical Therapist | 17129 S. Harlem Avenue, Tinley Park, IL 60477 | 2020-09-14 |
| 1881229656 | Sherrie Lynn Tsang | Massage Therapist | 7925 West 171st Street, Tinley Park, IL 60477 | 2020-03-11 |
| 1437782117 | Du Page Medical Group Ltd | Durable Medical Equipment & Medical Supplies | 17129 S Harlem Ave. Ste B3, Tinley Park, IL 60477 | 2020-02-20 |
| 1356998561 | Rasa Vaskeviciute | Physical Therapist | 17129 So Harlem, Tinley Park, IL 60477 | 2019-08-22 |
| 1538728258 | Michelle Anne Wisen | Physical Therapy Assistant | 17129 South Harlem, Suite B3, Tinley Park, IL 60477 | 2019-06-06 |
| 1073006151 | Danielle Lyon | Counselor | 6801 West 180th Court, Tinley Park, IL 60477 | 2018-06-13 |
| 1316445794 | Yvonne Tran | Physical Therapist | 17129 S Harlem Ave, Tinley Park, IL 60477 | 2018-01-31 |
| 1326574591 | Nicholas Barker | Chronic Disease Hospital | 7859 Joliet Drive North, Tinley Park, IL 60477 | 2017-05-10 |
| 1982063632 | Nicole Kristine Demarco | Specialist/Technologist | 16317 Clark Ln, Tinley Park, IL 60477 | 2016-02-22 |
| 1376900571 | Ucp Seguin Greater Chicago | Foster Care Agency | 7550 W. 183rd, Tinley Park, IL 60477 | 2016-01-20 |
| Find all providers in zip 60477 | ||||
| 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 |
|---|---|---|---|---|
| 1851598908 | Chirag Rana | Optometrist | 16630 S. Oak Park Ave., Tinley Park, IL 60477 | 2007-07-02 |
| 1104044965 | Maria S Viola | Optometrist | 16630 S Oak Park Ave, Tinley Park, IL 60477 | 2007-04-24 |
| 1023165412 | Norman S. Patterson | Optometrist | 17112 Oak Park Ave, Tinley Park, IL 60477-3406 | 2007-01-05 |
| 1063569317 | William G Grant | Optometrist | 8718 Harvest View Ln, Tinley Park, IL 60487-2113 | 2007-01-05 |
| 1588730055 | Vision Source Tinley Park Series | Optometrist | 17049 Harlem Ave, Tinley Park, IL 60477-2739 | 2006-11-28 |
| 1659448611 | James C Walter | Optometrist | 16630 Oak Park Ave, Tinley Park, IL 60477-1755 | 2006-11-28 |
| 1447331004 | Dennis Martin Gaeta | Optometrist | 17730 Oak Park Ave, Unit B1, Tinley Park, IL 60477-3918 | 2006-10-18 |
| 1619950151 | Margaret Cullen-regan | Optometrist | 9501 171st St, Suite C, Tinley Park, IL 60487-6110 | 2005-11-29 |
| 1275157125 | Shurouq Omari | Optometrist | 16205 Harlem Ave Ste B, Tinley Park, IL 60477-1682 | 2020-06-05 |
| 1467918854 | Khai Van | Optometrist | 16205 Harlem Ave Ste B, Tinley Park, IL 60477-1682 | 2019-02-11 |
| Find all providers in TINLEY PARK | ||||
| City | TINLEY PARK |
| Zip Code | 60477 |
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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.