KENILWORTH OPTICAL CO INC (NPI# 1134204175) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1134204175 |
| Entity Type | Organization |
| Organization Name | KENILWORTH OPTICAL CO INC |
| Practice Address |
135 S Robert T Palmer Dr Suite 25 Elmhurst IL 60126-3412 |
| Practice Telephone | 6308323055 |
| Practice Fax Number | 6308320927 |
| Mailing Telephone | 6308323055 |
| Mailing Fax Number | 6308320927 |
| Enumeration Date | 2006-10-26 |
| Last Update Date | 2009-06-04 |
| Authorized Official Name | KRISHAN C NAGPAL (VICE PRESIDENT) |
| Authorized Official Telephone | 6308323055 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207W00000X | Ophthalmology | 1149-7051 | IL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IL | KRISHAN C NAGPAL, MD | 066393001 | 01 |
| Street Address |
135 S ROBERT T PALMER DR SUITE 25 |
| City | ELMHURST |
| State | IL |
| Zip Code | 60126-3412 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477902625 | Milan J. Doshi Dmd PC | Dentist | 135 S Robert T Palmer Dr, Suite 201, Elmhurst, IL 60126-3412 | 2016-06-08 |
| 1689802589 | Milan Jagdish Doshi | Dentist | 135 S Robert T Palmer Dr, Suite 201, Elmhurst, IL 60126-3412 | 2009-06-30 |
| 1295915312 | John D Jevitz | Chiropractor | 135 S Robert T Palmer Dr, Suite 23, Elmhurst, IL 60126-3412 | 2007-11-06 |
| 1972629111 | Jevitz Chiropractic Clinic | Chiropractor | 135 S Robert T Palmer Dr, Suite 23, Elmhurst, IL 60126-3412 | 2007-03-21 |
| 1083799142 | Sucharita Arora | Ophthalmology | 135 S Robert T Palmer Dr, Suite 25, Elmhurst, IL 60126-3412 | 2006-10-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154931434 | Andrew D Chastain | Physical Therapy Assistant | 188 N. Industrial Drive, Suite 112, Elmhurst, IL 60126 | 2020-08-03 |
| 1407464472 | Kevin M. Dunn | Physical Therapy Assistant | 188 N, Industrial Dr, Suite 112, Elmhurst, IL 60126 | 2020-07-16 |
| 1699236414 | Rosario Garcia | Nurse Practitioner | 1200 York St, Elmhurst, IL 60126 | 2019-03-26 |
| 1003390857 | Lauren M Gorski | Physical Therapist | 275 N. York Rd, Suite 300, Elmhurst, IL 60126 | 2018-09-18 |
| 1073041240 | Kyle Patrick Harmon | Dentist | 127 W Vallette St, Elmhurst, IL 60126 | 2017-05-31 |
| 1083065031 | Mariah Lynn Kyro | Behavioral Analyst | 650 W. Grand Avenue Suite 207, Elmhurst, IL 60126 | 2016-06-30 |
| 1841661261 | Randi N. Rockell | Nurse Practitioner | 155 E. Brush Hill Rd., Elmhurst Memorial Hospital, Elmhurst, IL 60126 | 2015-10-12 |
| 1508254897 | Soles Therapy Services Corp | Speech-Language Pathologist | 627 N York Street, Unit E, Elmhurst, IL 60126 | 2015-01-08 |
| 1629466560 | Amy J Pawlik | Physical Therapist | 263 N. York Rd., Suite 200, Elmhurst, IL 60126 | 2014-12-30 |
| 1265771349 | Ladawna Goering | Nurse Practitioner | 133 E Brush Hill, Suite 310, Elmhurst, IL 60126 | 2013-02-08 |
| Find all providers in zip 60126 | ||||
| Taxonomy Code | 207W00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Ophthalmology |
| An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Ophthalmology, 2007. http://www.abop.org/. American Osteopathic Board of Ophthalmology and Otolaryngology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Ophthalmology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Ophthalmology and Otolaryngology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821607995 | Reginald Camillo Md Pllc | Ophthalmology | 7708 Broadway, Elmhurst, NY 11373-1927 | 2020-07-24 |
| 1982938668 | Paul Lawrence Owens Jr. | Ophthalmology | 9442 60th Ave, Suite A-2, Elmhurst, NY 11373-5070 | 2009-09-28 |
| 1225261530 | Liwu Chen | Ophthalmology | 8322 Cornish Ave Fl 1, Elmhurst, NY 11373-3754 | 2009-09-02 |
| 1942308788 | Oscar Pelaez | Ophthalmology | 4037 74th St, Elmhurst, NY 11373-5603 | 2006-09-20 |
| 1093725715 | Abraham T Winter | Ophthalmology | 86 35 Queens Blvd, Ste 1d, Elmhurst, NY 11373 | 2006-08-08 |
| 1427087691 | Cono M.grasso, M.d.p.c. | Ophthalmology | 8305 Grand Ave, Elmhurst, NY 11373-4104 | 2006-07-01 |
| 1184679524 | Mohamed Adenwalla | Ophthalmology | 133 E Brush Hill Rd Ste 300, Elmhurst, IL 60126-5659 | 2006-05-24 |
| 1730149550 | William E Shaw Jr. | Ophthalmology | 152 N Addison Ave Fl 1, Elmhurst, IL 60126-2821 | 2006-03-24 |
| 1467446575 | Jeffrey Charles Paccione | Ophthalmology | 8806 55th Ave, Elmhurst, NY 11373-4437 | 2005-09-02 |
| 1386643658 | Kevin J Kovach | Ophthalmology | 152 N Addison Ave, Elmhurst, IL 60126 | 2005-07-19 |
| Find all providers in ELMHURST | ||||
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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.