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).
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 |
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 |
State | Issuer | Identifier | Type Code |
---|---|---|---|
IL | NPI | 1730125451 | 01 |
IL | NPI | 1841370061 | 01 |
Street Address |
1760 WISE |
City | SCHAUMBERG |
State | IL |
Zip Code | 60193 |
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 |
Find all providers in zip 60193 |
Taxonomy Code | 305R00000X |
Grouping | Managed Care Organizations |
Classification | Preferred Provider Organization |
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 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1972129625 | Shawnte Jenkins-alexander, Ed.d. Lcpc. Ltd | Preferred Provider Organization | 155 N Michigan Ave Ste 328, Chicago, IL 60601-7591 | 2020-06-18 |
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 |
Find all providers with the same taxonomy |
City | SCHAUMBERG |
Zip Code | 60193 |
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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.