WHEATON EYE CLINIC LTD (NPI# 1588647101) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1588647101 |
Entity Type | Organization |
Organization Name | WHEATON EYE CLINIC LTD |
Other Organization Name | WHEATON OPTICAL DEPARTMENT |
Practice Address |
2015 N Main St Wheaton IL 60187-3152 |
Practice Telephone | 6306688250 |
Practice Fax Number | 6306688916 |
Mailing Telephone | 6306688250 |
Mailing Fax Number | 6306688916 |
Enumeration Date | 2005-11-29 |
Last Update Date | 2011-06-01 |
Authorized Official Name | DR. RUTH D WILLIAMS (PRESIDENT) |
Authorized Official Telephone | 6306688250 |
Authorized Official Credential | M.D. |
Is Organization Subpart | Y |
Parent Organization Name | WHEATON EYE CLINIC LTD |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 332H00000X | Eyewear Supplier (Equipment, not the service) | ========= | IL | Suppliers |
Other Name | Type Code |
---|---|
Wheaton Optical Department | Other Name - Individual/Organization |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1952579914 | Wheaton Eye Clinic Ltd | Eyewear Supplier (Equipment, not the service) | 12426 S. Van Dyke Road, Plainfield, IL 60585-0000 | 2008-02-13 |
1497730790 | Wheaton Eye Clinic Ltd | Ophthalmology | 604 Raymond Dr, Naperville, IL 60563-9788 | 2005-12-08 |
1760467070 | Wheaton Eye Clinic Ltd | Ophthalmology | 908 N Elm St, Suite 101, Hinsdale, IL 60521-3635 | 2005-12-08 |
Street Address |
2015 N MAIN ST |
City | WHEATON |
State | IL |
Zip Code | 60187-3152 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1801883004 | Wheaton Eye Clinic Ltd. | Ophthalmology | 2015 N Main St, Wheaton, IL 60187-3152 | 2005-10-03 |
1396123048 | Nathaniel Erick Mcintyre | Ophthalmology | 2015 N Main St, Wheaton, IL 60187-3152 | 2015-05-14 |
1477972412 | Krishna B Patel | Ophthalmology | 2015 N Main St, Wheaton, IL 60187-3190 | 2014-04-07 |
1932531407 | Mei Zhou | Ophthalmology | 2015 N Main St, Wheaton, IL 60187 | 2013-08-06 |
1326480385 | Siya Huo | Ophthalmology | 2015 N Main St, Wheaton, IL 60187-3152 | 2013-07-18 |
1265796585 | Michelle Marie Kron-gray | Anesthesiology | 2015 N Main St, Wheaton, IL 60187-3152 | 2012-07-02 |
1285917377 | Huizi Yin | Optometrist | 2015 N Main St, Wheaton, IL 60187-3190 | 2011-09-24 |
1508146788 | Alan S Jin | Optometrist | 2015 N Main St, Wheaton, IL 60187-3152 | 2011-08-19 |
1952689705 | Timothy John Kietzman | Ophthalmology | 2015 N Main St, Wheaton, IL 60187-3152 | 2011-07-28 |
1083909998 | Michael Thomas Andreoli | Internal Medicine | 2015 N Main St, Wheaton, IL 60187-3152 | 2011-06-20 |
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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 |
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Taxonomy Code | 332H00000X |
Grouping | Suppliers |
Classification | Eyewear Supplier (Equipment, not the service) |
An organization that provides spectacles, contact lenses, and other vision enhancement devices prescribed by an optometrist or ophthalmologist. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1144380197 | Luxottica of America Inc. | Eyewear Supplier (Equipment, not the service) | 11160 Veirs Mill Rd Spc G1, Wheaton, MD 20902-2542 | 2006-12-11 |
1659454361 | Luxottica of America Inc. | Eyewear Supplier (Equipment, not the service) | 41 Town Sq, Wheaton, IL 60189 | 2006-10-24 |
1235689548 | Luxottica of America Inc. | Eyewear Supplier (Equipment, not the service) | 11160 Veirs Mill Rd, Wheaton, MD 20902-2538 | 2016-10-11 |
1770953044 | Visionworks, Inc. | Eyewear Supplier (Equipment, not the service) | 11160 Veirs Mill Rd, P203a, Wheaton, MD 20902-2538 | 2015-09-30 |
1063806339 | Costco Wholesale Corporation | Eyewear Supplier (Equipment, not the service) | 11160 Veirs Mill Rd, Wheaton, MD 20902-2538 | 2015-03-25 |
1619207784 | Twenty-twenty Inc | Eyewear Supplier (Equipment, not the service) | 160 Danada Sq W, Wheaton, IL 60189-2041 | 2010-01-12 |
1750302915 | Usv Optical Inc. | Eyewear Supplier (Equipment, not the service) | 11160 Veirs Mill Rd, Wheaton, MD 20902 | 2006-07-22 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1174138168 | Shoptikal LLC | Eyewear Supplier (Equipment, not the service) | 1550 W Lane Rd, Machesney Park, IL 61115-1903 | 2020-09-15 |
1588279566 | Shoptikal LLC | Eyewear Supplier (Equipment, not the service) | 1190 S Randall Rd Ste 104, Elgin, IL 60123-4110 | 2020-09-15 |
1972129294 | Luxottica Retail North America, Inc | Eyewear Supplier (Equipment, not the service) | 900 W North Ave, Chicago, IL 60642-2506 | 2020-06-23 |
1710512801 | Shoptikal LLC | Eyewear Supplier (Equipment, not the service) | 9940 Rt 47, Huntley, IL 60142 | 2020-03-09 |
1710512488 | Glasses On Oak St | Eyewear Supplier (Equipment, not the service) | 900 N Michigan Ave Fl 5, Chicago, IL 60611-1542 | 2020-03-03 |
1861026890 | Luxottica of America Inc. | Eyewear Supplier (Equipment, not the service) | 5300 Northwest Hwy, Crystal Lake, IL 60014-8072 | 2020-02-28 |
1952935181 | Jand. Inc. | Eyewear Supplier (Equipment, not the service) | 4999 Old Orchard Ctr Ste J4, Skokie, IL 60077-1450 | 2020-02-26 |
1194355917 | Fr Vision 360, Inc. | Eyewear Supplier (Equipment, not the service) | 111 E Morton Ave, Jacksonville, IL 62650-3059 | 2020-01-21 |
1114567443 | Shoptikal LLC | Eyewear Supplier (Equipment, not the service) | 6215 Northwest Hwy, Crystal Lake, IL 60014-7932 | 2020-01-15 |
1841833399 | Luxottica of America Inc. | Eyewear Supplier (Equipment, not the service) | Milwaukee Ave & E Towline Rd #e1600, Vernon Hills, IL 60061 | 2019-10-28 |
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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.