CRYSTAL CLEAR EYE CARE CLINIC


Address: 1760 Wise, Schaumberg, IL 60193
Phone: 8475241700

CRYSTAL CLEAR EYE CARE CLINIC (NPI# 1154552016) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1154552016
Entity Type Organization
Organization Name CRYSTAL CLEAR EYE CARE CLINIC
Practice Address 1760 Wise
Schaumberg
IL 60193
Practice Telephone 8475241700
Practice Fax Number 8475241702
Mailing Telephone 8475241700
Mailing Fax Number 8475241702
Enumeration Date 2009-07-27
Last Update Date 2010-08-26
Authorized Official Name SHERRY L BAKOVICH (OFFICE MANGER)
Authorized Official Telephone 8475241700
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 305R00000X Preferred Provider Organization 047935456 IL Managed Care Organizations
Y 305R00000X Preferred Provider Organization 046007080 IL Managed Care Organizations

Other Provider Identifier

State Issuer Identifier Type Code
IL NPI 1730125451 01
IL NPI 1841370061 01

Office Location

Street Address 1760 WISE
City SCHAUMBERG
State IL
Zip Code 60193

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1225546203 Golden Corridor Family Young Men's Christian Association Health Educator 300 W Wise Road, Schaumburg, IL 60193 2018-01-12
1821516469 Jill Leann Kissinger Nurse Practitioner 1227 Cranbrook Dr, Schaumburg, IL 60193 2017-09-05
1265981021 Fresenius Medical Care Schaumburg, LLC Clinic/Center 815 W Wise Rd, Schaumburg, IL 60193 2016-09-22
1316323157 Jasmine Said Optometrist 2834 Adams Ct., Schaumburg, IL 60193 2015-08-04
1215368287 Daryl B. Wever Corp Podiatrist 455 S Roselle Rd Ste 101, Schaumburg, IL 60193 2013-12-02
1164764668 Pediatric Healthlink, S.c. Pediatrics 455 S. Roselle Road, Suite 109, Schaumburg, IL 60193 2013-03-22
1407154602 Physician Office Internal Medicine 321 South Barrington Road, Schaumburg, IL 60193 2011-03-11
1437304458 Frank J. Honig Dentist 129 S. Roselle Rd., 201, Schaumburg, IL 60193 2008-11-18
1902059017 Today's Family Dentistry Dentist 1752 W. Wise Rd., Schaunburg, IL 60193 2008-11-03
1093905416 Medha Madhukar Garud Physical Therapist 1641 S Roselle Road, Schaumburg, IL 60193 2007-08-01
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Taxonomy Information

Taxonomy Code 305R00000X
Grouping Managed Care Organizations
Classification Preferred Provider Organization

Taxonomy Definition

A group of physicians and/or hospitals who contract with an employer to provide services to their employees. In a PPO, the patient may got to the physician of his/her choice, even if that physician does not participate in the PPO, but the patient receives care at a lower benefit level.
Notes: Source: "Glossary of terms used in managed care" Developed by the Managed Care Assembly (MCA) of Medical Group Management Association (MGMA), MGM Journal, September/ October 1995, p. 62

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
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1134686439 Qualsight LLC Preferred Provider Organization 9525 Bryn Mawr Ave Ste 725, Rosemont, IL 60018-5262 2019-02-23
1053876367 Hope Network Foundation Preferred Provider Organization 332 S Michigan Ave Ste 10850, Chicago, IL 60604-4434 2019-01-31
1801336441 Emily Edelman Psychotherapy, An Illinois Corporation Preferred Provider Organization 2100 S Marshall Blvd, Apt 804, Chicago, IL 60623-3679 2017-03-01
1821549163 Family Dental Practice Preferred Provider Organization 9709 Milwaukee Ave, Glenview, IL 60025-4567 2016-10-21
1548613094 Shaunna R Repa Preferred Provider Organization 2231 Dawson Ln, Algonquin, IL 60102-5983 2016-07-20
1417308081 Mother Dearest Preferred Provider Organization 14214 Woodlawn Ave, Dolton, IL 60419-1316 2016-06-24
1992154991 Demoulin Family Chiropractic, Ltd. Preferred Provider Organization 11danada Square East, Wheaton, IL 60189-8484 2016-06-09
1790131936 Plainfield Pediatric Dental Care PC Preferred Provider Organization 13621 S. Rt 59, Unit 101, Plainfield, IL 60544 2016-05-06
1417310335 The Metro Mentorship Initiative Preferred Provider Organization 1828 N Lowell Ave, Chicago, IL 60639-4818 2016-03-29
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Competitor

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City SCHAUMBERG
Zip Code 60193

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Dataset Information

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.

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