EFP OPTICIANS ON DEARBORN, LLC (NPI# 1184140014) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1184140014 |
Entity Type | Organization |
Organization Name | EFP OPTICIANS ON DEARBORN, LLC |
Practice Address |
1205 N Dearborn St Chicago IL 60610-2213 |
Practice Telephone | (312) 943-2020 |
Practice Fax Number | 3122757189 |
Mailing Telephone | 3129432020 |
Mailing Fax Number | 3122757189 |
Enumeration Date | 2017-08-22 |
Last Update Date | 2017-08-23 |
Authorized Official Name | MR. BOYCE MOFFITT (GENERAL MANAGER) |
Authorized Official Telephone | 3129432020 |
Authorized Official Credential | OPTICIAN, ABOC |
Is Organization Subpart | Y |
Parent Organization Name | EFP PARTNERS, LLC |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 156FX1800X |
Technician/Technologist Specialization: Optician |
Eye and Vision Services Providers |
Street Address |
1205 N DEARBORN ST |
City | CHICAGO |
State | IL |
Zip Code | 60610-2213 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1306493473 | Chicagoland Eyecare Inc | Optometrist | 1205 N Dearborn St, Chicago, IL 60610-2213 | 2019-08-22 |
1306338330 | Efp Eyewear, Inc. | Optometrist | 1205 N Dearborn St, Chicago, IL 60610-2213 | 2018-06-05 |
1386160216 | Efp Partners, LLC | Technician/Technologist | 1205 N Dearborn St, Chicago, IL 60610-2213 | 2017-08-22 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1326683145 | Roslyn M Jordan | Counselor | 860 N. Lasalle, Chicago, IL 60610 | 2019-11-15 |
1992278196 | Deangela Roberson | Specialist/Technologist, Other | 1212 N. Lasalle, Ste 100/ Surgery Center, Chicago, IL 60610 | 2019-01-10 |
1477053205 | Terri Lynn Tyson | Counselor | 1250 N. Dearborn St., 18b, Chicago, IL 60610 | 2018-02-19 |
1487153797 | Jennifer Quinn | Social Worker | 1200 N. Lasalle Street, Chicago, IL 60610 | 2018-02-02 |
1811415334 | Erin Conroy | Behavioral Analyst | 1400 North Lake Shore Drive Apt 8a, Chicago, IL 60610 | 2017-09-05 |
1659898674 | Courtney Jane Busing | Speech-Language Pathologist | 1211 N Lasalle, 903, Chicago, IL 60610 | 2017-08-30 |
1528503042 | Luxottica of America Inc. | Eyewear Supplier (Equipment, not the service) | 908 North State Street, Chicago, IL 60610 | 2016-12-20 |
1548702814 | Melissa Snyder | Counselor | 1820 N Lasalle Blvd, Counseling- Sweeting, Chicago, IL 60610 | 2016-11-17 |
1982146908 | Samantha Ruth Slagh | Physical Therapist | 1100 N Lasalle Street, Apt 1018, Chicago, IL 60610 | 2016-11-08 |
1891242426 | Stephanie Pinsler | Counselor | 100 W Chestnut, #1907, Chicago, IL 60610 | 2016-09-01 |
Find all providers in zip 60610 |
Taxonomy Code | 156FX1800X |
Grouping | Eye and Vision Services Providers |
Classification | Technician/Technologist |
Specialization | Optician |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1700364171 | National Vision Inc | Technician/Technologist | 4068 North Milwaukee Avenue, Chicago, IL 60641 | 2018-07-30 |
1205291267 | National Vision, Inc. | Technician/Technologist | 11750 S Marshfield Ave, Chicago, IL 60643-4904 | 2015-12-17 |
1639547870 | Kevin Young | Technician/Technologist | 2915 N Broadway St, Chicago, IL 60657-5313 | 2015-09-04 |
1336565985 | Vytautas Tamulis | Technician/Technologist | 3457 W 111th St, Chicago, IL 60655-3335 | 2014-03-06 |
1477993186 | Wal-mart Stores Inc | Technician/Technologist | 10900 S. Doty Ave, Chicago, IL 60064 | 2013-06-26 |
1649610593 | Zb Optical Inc. | Technician/Technologist | 7847 S Maryland Ave, Suite 100b, Chicago, IL 60619 | 2013-06-25 |
1538482344 | Polo Optyka Inc | Technician/Technologist | 3021 N Milwaukee Ave, Chicago, IL 60618-6612 | 2010-03-08 |
1609013143 | Price Optical Limited | Technician/Technologist | 8541 S Cottage Grove Ave, Chicago, IL 60619-6115 | 2009-01-20 |
1487817409 | Guile's Eyewear Boutique Inc. | Technician/Technologist | 3041 N Lotus Ave, Chicago, IL 60641-4818 | 2008-07-09 |
1699941682 | Renee Russo | Technician/Technologist | 2121 W Division St, Chicago, IL 60622-2948 | 2008-04-30 |
Find all providers in CHICAGO |
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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.