MARY FRITZ JORDAN (NPI# 1295815728) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1295815728 |
Entity Type | Individual |
Full Name | MARY FRITZ JORDAN |
Credential | OD |
Practice Address |
219 E Cole Ave Wheaton IL 60187 |
Mailing Address |
923 Barclay Ct Batavia IL 60510-3273 |
Practice Telephone | 6306907115 |
Practice Fax Number | 6306909037 |
Mailing Telephone | 6304061131 |
Mailing Fax Number | 6303890604 |
Enumeration Date | 2006-10-17 |
Last Update Date | 2007-07-08 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 152WL0500X |
Optometrist Specialization: Low Vision Rehabilitation |
IL | Eye and Vision Services Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1629518626 | Mary Elisabeth Jordan | Clinical Nurse Specialist | 4665 Main St Suite 2, Jasper, TN 37347 | 2017-02-24 |
1063712040 | Mary Elizabeth Jordan | Social Worker | 1551 Indian Hills Dr Ste 206, Sioux City, IA 51104-1857 | 2010-10-25 |
1912212457 | Mary E Jordan | Counselor | 14 Clara Dr Ste 3, Mystic, CT 06355-1973 | 2010-08-09 |
1417126350 | Mary A Jordan | Social Worker | 4 Pell Place, Pelham, NY 10803-1310 | 2008-02-25 |
1104002070 | Mary Ann Jordan | Registered Nurse | 24 Picket Ln, Centereach, NY 11720-2511 | 2008-01-10 |
1538284773 | Mary Elizabeth Jordan | Nurse Practitioner | 1717 Columbia Rd Nw, Washington, DC 20009-2803 | 2007-03-20 |
1508911132 | Mary C Jordan | Licensed Vocational Nurse | 7053 Milwood Ave, Canoga Park, CA 91303-2159 | 2007-01-24 |
1356410294 | Mary Catherine Jordan | Nurse Practitioner | 5455 Meridian Mark Rd., Ste. 400, Atlanta, GA 30342 | 2006-11-07 |
1275615437 | Mary Jan Jordan | Counselor | 536 Fireside Court, Suite D, Lawrence, KS 66049-2300 | 2006-10-19 |
1215017025 | Mary Louise Jordan | Licensed Practical Nurse | 1927 W Meinecke Ave, Milwaukee, WI 53206-2063 | 2006-10-16 |
Street Address |
219 E COLE AVE |
City | WHEATON |
State | IL |
Zip Code | 60187 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1033215447 | Spectrios Institute for Low Vision | Optometrist | 219 E Cole Ave, Wheaton, IL 60187 | 2006-09-15 |
1215407465 | Katrina Annalese Stratton | Occupational Therapist | 219 E Cole Ave, Wheaton, IL 60187-3107 | 2018-11-30 |
1427462431 | Rachel Boram Park | Optometrist | 219 E Cole Ave, Wheaton, IL 60187-3107 | 2014-06-17 |
1306182134 | Gregg C. Pusateri | Optometrist | 219 E Cole Ave, Wheaton, IL 60187-3107 | 2012-12-26 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1811510738 | Arielle Susan Kalvelage | Counselor | Central Public Health Center (cphc), 111 N. County Farm Road, Wheaton, IL 60187 | 2020-05-27 |
1801418363 | Peter Gerard Harvey | Acupuncturist | 200 East Willow Avenue, Suite 202, Wheaton, IL 60187 | 2020-05-07 |
1760028823 | Teresa Clasen | Counselor | 222 Willow Ave, Wheaton, IL 60187 | 2019-11-25 |
1821630757 | Eastern Healing Inc. | Acupuncturist | 200 E. Willow Ave., Suite 202, Wheaton, IL 60187 | 2019-10-11 |
1952816282 | Caprishea Jones | Counselor | 111 N County Farm Road, Wheaton, IL 60187 | 2017-12-08 |
1265880330 | Bryan Cairncross | Specialist/Technologist | 1503 Beecher Ave., Wheaton, IL 60187 | 2016-05-31 |
1811357544 | Patricia Diaz | Nurse Practitioner | 0n620 West Street, Wheaton, IL 60187 | 2016-02-23 |
1962819227 | Breakthrough Care Center | Clinic/Center | 150 E. Willow Ave, Ste 100, Wheaton, IL 60187 | 2014-07-18 |
1780005587 | Kyler Mulhauser | Counselor | 600 W. Roosevelt Rd, Suite A2, Wheaton, IL 60187 | 2013-12-20 |
1538593074 | Deborah Bates | Psychologist | 300 E Roosevelt Rd Ste 105, Wheaton, IL 60187 | 2013-08-31 |
Find all providers in zip 60187 |
Taxonomy Code | 152WL0500X |
Grouping | Eye and Vision Services Providers |
Classification | Optometrist |
Specialization | Low Vision Rehabilitation |
Optometrists who specialize in low-vision care having training to assess visual function, prescribe low-vision devices, develop treatment plans, and recommend other vision rehabilitation services. |
Notes: Source: American Optometric Association [1/1/2009: added definition, added source] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1033215447 | Spectrios Institute for Low Vision | Optometrist | 219 E Cole Ave, Wheaton, IL 60187 | 2006-09-15 |
1306182134 | Gregg C. Pusateri | Optometrist | 219 E Cole Ave, Wheaton, IL 60187-3107 | 2012-12-26 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1467791376 | Eye Solutions, PC | Optometrist | 1925 Warren St, Evanston, IL 60202-1949 | 2013-02-13 |
1396920153 | Sarah Lesko | Optometrist | 10527 S Avenue F, Chicago, IL 60617-6318 | 2007-12-28 |
1265431506 | Tazewell County Resource Centers Inc | Optometrist | 111 W Washington St, Suite 410, East Peoria, IL 61611-2532 | 2005-07-19 |
1568983617 | Chenyi Liu | Optometrist | 3450 Lacey Rd, Downers Grove, IL 60515 | 2017-06-29 |
1922540079 | Tazewell County Resource Centers, Inc. | Optometrist | 21310 State Route 9, Tremont, IL 61568-9252 | 2016-11-07 |
1154740744 | Michael Kevin Mccarthy | Optometrist | 5000 S 5th Ave, Bldg 113 Msc 124, Hines, IL 60141-3030 | 2014-04-10 |
1750566188 | The Mind-eye Connection PC | Optometrist | 1414 Techny Rd, Northbrook, IL 60062-5447 | 2008-01-03 |
1356360788 | Paul K. Anthony | Optometrist | 121 N Grand Ave W, Springfield, IL 62702-2562 | 2006-07-18 |
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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.