MICHAEL MENCONI, OD. PC. (NPI# 1376845800) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1376845800 |
Entity Type | Organization |
Organization Name | MICHAEL MENCONI, OD. PC. |
Other Organization Name | EYECARE CENTER OF SANDWICH |
Practice Address |
1112 E Railroad St Ste 1 Sandwich IL 60548-1894 |
Practice Telephone | 6307862020 |
Practice Fax Number | 6307866306 |
Mailing Telephone | 6307862020 |
Mailing Fax Number | 6307866306 |
Enumeration Date | 2010-12-05 |
Last Update Date | 2011-06-09 |
Authorized Official Name | DR. MICHAEL WILLIAM MENCONI (PRESIDENT) |
Authorized Official Telephone | 6306088287 |
Authorized Official Credential | O.D. |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 152W00000X | Optometrist | 046010227 | IL | Eye and Vision Services Providers |
Other Name | Type Code |
---|---|
Eyecare Center of Sandwich | Doing Business As Name - Organization |
Street Address |
1112 E RAILROAD ST STE 1 |
City | SANDWICH |
State | IL |
Zip Code | 60548-1894 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1740335058 | Karl S. Csiszer, O.d., P.C. | Optometrist | 1112 E Railroad St, Suite 1, Sandwich, IL 60548-1894 | 2007-01-24 |
1295963296 | Michael William Menconi | Optometrist | 1112 E Railroad St, Ste 1, Sandwich, IL 60548-1894 | 2009-06-29 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1366954166 | Northern Rehabilitation and Sports Medicine Associates | Physical Therapist | 523 E. Railroad Street, Suite A, Sandwich, IL 60548 | 2017-11-02 |
1538683040 | Ariel Eads | Counselor | 207 E Church St Unit A, Sandwich, IL 60548 | 2017-07-27 |
1093169138 | Kimberly S Miner | Acupuncturist | 100 South Latham Street, Suite 103b, Sandwich, IL 60548 | 2016-04-14 |
1316304058 | Dekalb Behavioral Health Foundation, Inc. | Clinic/Center | 100 S Latham St Ste 204, Sandwich, IL 60548 | 2016-01-26 |
1215006200 | Robert C Lerohl | Dentist | 430 S. Dayton Street, Sandwich, IL 60548 | 2006-11-06 |
1609950641 | Joseph Jimenez | Chiropractor | 823 E Church St, Sandwich, IL 60548 | 2006-10-25 |
1104919703 | Pharmacy Operations, Inc | Pharmacy | 142 Indian Springs Drive, Sandwich, IL 60548 | 2006-10-02 |
1902911076 | Jason Lee Robinson | Physical Therapist | 710 E Railroad St, Sandwich, IL 60548 | 2006-08-20 |
1982719209 | Anchor Dental Center Ltd | Dentist | 100 S Latham St, Sandwich, IL 60548 | 2006-08-19 |
1376566745 | Sandwich Community Fire Protection District | Ambulance | 310 E Railroad St, Sandwich, IL 60548 | 2006-07-25 |
Find all providers in zip 60548 |
Taxonomy Code | 152W00000X |
Grouping | Eye and Vision Services Providers |
Classification | Optometrist |
Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system. |
Notes: Source: American Optometric Association (AOA), approved by the AOA’s Board of Trustees, June 21, 2005. [7/1/2006: definition modified] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1740335058 | Karl S. Csiszer, O.d., P.C. | Optometrist | 1112 E Railroad St, Suite 1, Sandwich, IL 60548-1894 | 2007-01-24 |
1740742709 | Yorkville Vision LLC | Optometrist | 823 E Church St Ste B, Sandwich, IL 60548-1890 | 2019-04-01 |
1295963296 | Michael William Menconi | Optometrist | 1112 E Railroad St, Ste 1, Sandwich, IL 60548-1894 | 2009-06-29 |
1053430801 | William R Skutta | Optometrist | 823 E Church St, Sandwich, IL 60548-1889 | 2007-03-29 |
1962439752 | Stephen P. Holmes Jr. | Optometrist | 68 Tupper Rd, Merchant's Square, Sandwich, MA 02563-1872 | 2006-06-27 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1437750247 | Saida Samedova | Optometrist | 5255 Il-251, Peru, IL 61354 | 2020-11-06 |
1124627880 | Biren Patel | Optometrist | 1330 N Larkin Ave, Joliet, IL 60435-3765 | 2020-10-22 |
1790392587 | Adriana Casillas | Optometrist | 11129 S Avenue J, Chicago, IL 60617-6910 | 2020-09-25 |
1033725114 | Sabrina D'haiti | Optometrist | 607 Oakton St, Evanston, IL 60202-5615 | 2020-09-23 |
1164037495 | Brett David Freitag | Optometrist | 5006 Northwest Hwy, Crystal Lake, IL 60014-7339 | 2020-09-14 |
1164036786 | Deeti Patel | Optometrist | 9053 Hollyberry Ave, Des Plaines, IL 60016-4216 | 2020-09-01 |
1497368252 | Gca Optical LLC | Optometrist | 1520 N Rock Run Dr Ste 2, Crest Hill, IL 60403-3172 | 2020-08-30 |
1538778097 | Opt Vision | Optometrist | 5371 W Lawrence Ave Ste A, Chicago, IL 60630-3695 | 2020-07-30 |
1578180147 | Ortizii PC | Optometrist | 111 N Wabash Ave Ste 1111, Chicago, IL 60602-3119 | 2020-06-30 |
1053938092 | Premier Vision Center LLC | Optometrist | 2809 Mansion Rd Ste A, Springfield, IL 62711-6811 | 2020-06-25 |
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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.