THOMAS R. MIZEN, M.D. AND ASSOCIATES, LLC (NPI# 1659492759) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1659492759 |
| Entity Type | Organization |
| Organization Name | THOMAS R. MIZEN, M.D. AND ASSOCIATES, LLC |
| Practice Address |
6187 S Archer Ave Suite 101 Chicago IL 60638-2605 |
| Practice Telephone | 7735812000 |
| Practice Fax Number | 7735812878 |
| Mailing Telephone | 7735812000 |
| Mailing Fax Number | 7735812878 |
| Enumeration Date | 2007-04-03 |
| Last Update Date | 2012-11-29 |
| Authorized Official Name | THOMAS R MIZEN (MANAGER) |
| Authorized Official Telephone | 7735812000 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207W00000X | Ophthalmology | 036062834 | IL | Allopathic & Osteopathic Physicians |
| Street Address |
6187 S ARCHER AVE SUITE 101 |
| City | CHICAGO |
| State | IL |
| Zip Code | 60638-2605 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720086960 | Charles T Shaw | Internal Medicine | 6187 S Archer Ave, Suite 103, Chicago, IL 60638-2605 | 2005-07-12 |
| 1750589875 | David Dionisio | Family Medicine | 6187 S Archer Ave, Suite 103, Chicago, IL 60638-2605 | 2007-07-10 |
| 1639280530 | Thomas R Mizen | Ophthalmology | 6187 S Archer Ave, Suite 101, Chicago, IL 60638-2605 | 2006-08-31 |
| 1023065976 | Family Care Associates of Chicago | Family Medicine | 6187 S Archer Ave, Suite 103, Chicago, IL 60638-2605 | 2006-05-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255931952 | Dawid Bula | Pharmacist | 7090 S Cicero Ave, Bedford Park, IL 60638 | 2020-10-30 |
| 1386278430 | Adara Simonelli | Physician Assistant | 6317 S Lorel Avenue, Chicago, IL 60638 | 2020-02-27 |
| 1891343711 | Marie Dipasquale | Technician | 5837 So. Natoma Ave, Chgo, IL 60638 | 2019-09-04 |
| 1316434400 | Ab Dental Professionals LLC | Dentist | 5672 South Archer Avenue, Chicago, IL 60638 | 2018-04-16 |
| 1427563204 | Bethany Elkington | Occupational Therapist | 5764 South Archer Ave, Chicago, IL 60638 | 2017-12-03 |
| 1952759854 | Ismael Gutierrez | Family Medicine | 6084 W Archer Ave, Chicago, IL 60638 | 2016-06-01 |
| 1336533314 | Claude Lucas King | Counselor | 6235 S Major Ave Apt 1, Chicago, IL 60638 | 2015-03-27 |
| 1538594395 | Mohammad Joudeh | Chiropractor | 4844 S Cicero Ave, Chicago, IL 60638 | 2013-09-11 |
| 1548602428 | Clearing Vision Professional Corporation | Optometrist | 5718 W. 63rd St., Chicago, IL 60638 | 2013-07-22 |
| 1184963134 | Raquel Ana Eguia | Physical Therapist | 5658 S. Parkside Ave, Chicago, IL 60638 | 2013-02-12 |
| Find all providers in zip 60638 | ||||
| Taxonomy Code | 207W00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Ophthalmology |
| An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Ophthalmology, 2007. http://www.abop.org/. American Osteopathic Board of Ophthalmology and Otolaryngology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Ophthalmology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Ophthalmology and Otolaryngology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649894189 | Lakeshore Ophthalmology, LLC | Ophthalmology | 2525 S Michigan Ave Fl 8, Chicago, IL 60616-2315 | 2020-06-01 |
| 1053940460 | Neil L Ross | Ophthalmology | 950 N Michigan Ave Apt 5403, Chicago, IL 60611-7535 | 2020-04-07 |
| 1770149049 | Rop Consultants LLC | Ophthalmology | 5228 N Virginia Ave, Chicago, IL 60625-4015 | 2019-05-13 |
| 1962969881 | Monique Munro | Ophthalmology | 1855 W Taylor Street. Suite 3138 Illinois Eye and Infir, Chicago, IL 60612 | 2019-02-27 |
| 1063987345 | Chataam Optical LLC | Ophthalmology | 8741 S Greenwood Ave Ste 108, Chicago, IL 60619-7058 | 2018-10-12 |
| 1740717149 | Samuel Philip Burke | Ophthalmology | 1855 W Taylor St Rm 3.138, Chicago, IL 60612-7242 | 2017-05-16 |
| 1528430873 | Yana Kiesau M.d., LLC | Ophthalmology | 3423 N Seeley Ave, Chicago, IL 60618-6113 | 2015-10-27 |
| 1245619105 | Anna Mackin | Ophthalmology | 5841 S Maryland Ave # Mc 1052, Chicago, IL 60637-1447 | 2015-05-26 |
| 1932587656 | John Douglas Wilgucki II | Ophthalmology | 1855 W Taylor St Ste 2.50, Chicago, IL 60612-7242 | 2015-05-14 |
| 1609253145 | Mary Kathleen Russell | Ophthalmology | 259 E Erie St Ste 1500, Chicago, IL 60611-3111 | 2015-05-05 |
| 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.