EAGLE OPTICAL, INC. (NPI# 1538204516) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1538204516 |
Entity Type | Organization |
Organization Name | EAGLE OPTICAL, INC. |
Practice Address |
3319 Ridge Rd Lansing IL 60438-3111 |
Mailing Address |
2755 Indiana Ave Lansing IL 60438-2225 |
Practice Telephone | 7084741145 |
Practice Fax Number | 7084741876 |
Mailing Telephone | 7084743500 |
Mailing Fax Number | 7084743556 |
Enumeration Date | 2007-02-20 |
Last Update Date | 2008-05-29 |
Authorized Official Name | WENDY NOVAK (VICE PRESIDENT) |
Authorized Official Telephone | 7084743500 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 156FX1800X |
Technician/Technologist Specialization: Optician |
18038042 | IL | Eye and Vision Services Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1104021179 | Eagle Optical, Inc. | Eyewear Supplier (Equipment, not the service) | 2755 Indiana Ave, Lansing, IL 60438-2225 | 2007-06-19 |
Street Address |
3319 RIDGE RD |
City | LANSING |
State | IL |
Zip Code | 60438-3111 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1669514709 | Chen-yu Kuo | Optometrist | 3319 Ridge Rd, Lansing, IL 60438-3111 | 2007-02-13 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1013429984 | Gentle Touch Healthcare Services | In Home Supportive Care | 18236 Ridgewood, Lansing, IL 60438 | 2017-10-31 |
1336658699 | Elizabeth M Cichocki | Speech-Language Pathologist | Memorial Jr. High School, 2721 Ridge Rd., Lansing, IL 60438 | 2017-09-29 |
1023527595 | Sue Hecht | Speech-Language Pathologist | 18300 Greenbay, Lansing, IL 60438 | 2017-09-27 |
1275960130 | Senegal Enterprises Medical, Inc | Durable Medical Equipment & Medical Supplies | 3330 181st Place, Suite 103, Lansing, IL 60438 | 2013-10-08 |
1295062404 | Dominion Home Health Care Inc. | Home Health | 2521 Ridge Road, Suite 4, Lansing, IL 60438 | 2009-11-09 |
1013076348 | Wayne M Mrjenovich Dds PC | Dentist | 19111 Burnham Ave, Lansing, IL 60438 | 2006-12-06 |
1124198247 | Jennifer Meyer | Counselor | 17041 Chicago Ave, Lansing, IL 60438 | 2006-11-08 |
1821171182 | Nurse Coordinators & Home Health | Home Health | 1955 Bernice Rd, Suite 1sw, Lansing, IL 60438 | 2006-10-23 |
1275633133 | Hoovers Home Health Inc | Durable Medical Equipment & Medical Supplies | 3326 Ridge Rd, Lansing, IL 60438 | 2006-09-22 |
1942307053 | Brant T Molenaar | Optometrist | 3546 Ridge Road, Lansing, IL 60438 | 2006-09-20 |
Find all providers in zip 60438 |
Taxonomy Code | 156FX1800X |
Grouping | Eye and Vision Services Providers |
Classification | Technician/Technologist |
Specialization | Optician |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1255625562 | America's Best Contacts & Eyeglasses | Technician/Technologist | 300 N Clippert St Ste 18a, Lansing, MI 48912-4691 | 2011-06-03 |
1144465436 | America's Best Contacts & Eyeglasses | Technician/Technologist | 533 N Marketplace Blvd Ste 6, Lansing, MI 48917-7735 | 2008-12-16 |
1124194824 | Richard Royal Murdock Jr. | Technician/Technologist | 120 W Allegan St, Lansing, MI 48933-1701 | 2006-11-27 |
1144310533 | Wal-mart Stores East, Lp | Technician/Technologist | 5110 Times Square (e), Lansing, MI 48864 | 2006-10-13 |
1720340599 | Usv Optical Inc. | Technician/Technologist | 5125 W Saginaw Hwy, Lansing, MI 48917-2635 | 2012-06-08 |
1801072343 | Draper Eyewear Inc | Technician/Technologist | 120 W Allegan St, Lansing, MI 48933-1548 | 2008-01-15 |
1417030149 | Wal-mart Stores East, Lp | Technician/Technologist | 3225 Towne Centre Blvd, Lansing, MI 48912-5620 | 2006-10-24 |
1003999699 | Wal-mart Stores East, Lp | Technician/Technologist | 409 N Marketplace Blvd, Lansing, MI 48917-7732 | 2006-10-24 |
1235212770 | Wal-mart Stores, Inc | Technician/Technologist | 16771 Torrence Ave, Lansing, IL 60438-6018 | 2006-10-20 |
1639269756 | Sam's Club Optical | Technician/Technologist | 2925 Towne Centre Blvd, Lansing, MI 48912-5650 | 2006-10-13 |
Find all providers in LANSING |
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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.