DR. JACQUELINE MARIE CARLOCK (NPI# 1124154620) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124154620 |
| Entity Type | Individual |
| Full Name | DR. JACQUELINE MARIE CARLOCK |
| Credential | OD |
| Practice Address |
15531 127th St Lemont IL 60439 |
| Practice Telephone | 6302439895 |
| Practice Fax Number | 6302572503 |
| Mailing Telephone | 6302439895 |
| Mailing Fax Number | 6302572503 |
| Enumeration Date | 2007-02-26 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 152W00000X | Optometrist | IL | Eye and Vision Services Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IL | BLUE CROSS BLUE SHEILD | 0001633030 | 01 |
| Street Address |
15531 127TH ST |
| City | LEMONT |
| State | IL |
| Zip Code | 60439 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467468207 | Bart Donald Beaver | Podiatrist | 15531 127th St, Lemont, IL 60439-8555 | 2006-08-01 |
| 1437166212 | Michael Anthony Buck | Podiatrist | 15531 127th St, Lemont, IL 60439-8555 | 2006-08-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801377916 | Stephanie Ann Size | Nurse Practitioner | 135th St & New Avenue, Lemont, IL 60439 | 2018-08-27 |
| 1093267544 | Blayne Denise Yarmat | Specialist/Technologist | 15822 132nd St, Lemont, IL 60439 | 2016-11-01 |
| 1720448848 | Fresenius Medical Care Lemont, LLC | Clinic/Center | 16177 W 127th Street, Lemont, IL 60439 | 2016-03-02 |
| 1629341433 | Autism Behavior & Childhood Service, Inc. | Community/Behavioral Health | 13664 Anne Drive, Lemont, IL 60439 | 2012-02-10 |
| 1295016186 | Frank James Enright II | Pharmacist | 15575 127th Street, Lemont, IL 60439 | 2011-09-06 |
| 1457632804 | Sherry A O'malley | Pharmacist | 15575 W 127th St, Lemont, IL 60439 | 2011-08-30 |
| 1093017394 | Cristy M Calderon | Behavioral Analyst | 13664 Anne Dr, Lemont, IL 60439 | 2010-11-19 |
| 1902119068 | Dr Jean Garbolski and Associates | Family Medicine | 14232 Mccarthy Road, Lemont, IL 60439 | 2010-07-19 |
| 1356660278 | Chongyang Li | Registered Nurse | 20 W 214 Meadow Ln, Lemont, IL 60439 | 2010-05-18 |
| 1972768935 | Jennifer L. Splitt-krull | Dentist | 160-b East Wend Street, Lemont, IL 60439 | 2008-07-18 |
| Find all providers in zip 60439 | ||||
| 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 |
|---|---|---|---|---|
| 1417928219 | Julianne Augusta Kos | Optometrist | 15531 E 127th St, Suite 102, Lemont, IL 60439-8555 | 2006-01-30 |
| 1124323100 | Kathleen M. Kasmer, O.d., Ltd. | Optometrist | 13460 S Archer Ave, C/o Target Optical, Lemont, IL 60439-4755 | 2011-01-21 |
| 1790099125 | Mobile Vision of Illinois, LLC | Optometrist | 1192 Walter St, Lemont, IL 60439-2903 | 2010-07-27 |
| 1497985790 | Lanae Brianna Yong | Optometrist | 13460 S Archer Ave, Lemont, IL 60439-4755 | 2009-07-21 |
| 1417033457 | Kathleen Michele Kasmer | Optometrist | 13460 S Archer Ave, C/o Target Optical, Lemont, IL 60439-4755 | 2006-10-31 |
| 1144230392 | Samuel Joseph Forzley | Optometrist | 1192 Walter St, Suite A, Lemont, IL 60439-2903 | 2006-08-09 |
| 1851301006 | Forzley Eye Clinic Ltd | Optometrist | 1192 Walter St, Suite A, Lemont, IL 60439-2905 | 2006-08-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437750247 | Saida Samedova | Optometrist | 5255 Il-251, Peru, IL 61354 | 2020-11-06 |
| 1124627880 | Biren Patel | Optometrist | 1330 N Larkin Ave, Joliet, IL 60435-3765 | 2020-10-22 |
| 1790392587 | Adriana Casillas | Optometrist | 11129 S Avenue J, Chicago, IL 60617-6910 | 2020-09-25 |
| 1033725114 | Sabrina D'haiti | Optometrist | 607 Oakton St, Evanston, IL 60202-5615 | 2020-09-23 |
| 1164037495 | Brett David Freitag | Optometrist | 5006 Northwest Hwy, Crystal Lake, IL 60014-7339 | 2020-09-14 |
| 1164036786 | Deeti Patel | Optometrist | 9053 Hollyberry Ave, Des Plaines, IL 60016-4216 | 2020-09-01 |
| 1497368252 | Gca Optical LLC | Optometrist | 1520 N Rock Run Dr Ste 2, Crest Hill, IL 60403-3172 | 2020-08-30 |
| 1538778097 | Opt Vision | Optometrist | 5371 W Lawrence Ave Ste A, Chicago, IL 60630-3695 | 2020-07-30 |
| 1578180147 | Ortizii PC | Optometrist | 111 N Wabash Ave Ste 1111, Chicago, IL 60602-3119 | 2020-06-30 |
| 1053938092 | Premier Vision Center LLC | Optometrist | 2809 Mansion Rd Ste A, Springfield, IL 62711-6811 | 2020-06-25 |
| Find all providers with the same taxonomy | ||||
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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.