FULL SAIL PARTNERS (NPI# 1659553642) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1659553642 |
| Entity Type | Organization |
| Organization Name | FULL SAIL PARTNERS |
| Other Organization Name | VISION CENTER@MEIJER |
| Practice Address |
755 E Boughton Rd Bolingbrook IL 60440-2250 |
| Mailing Address |
Po Box 8782 Kentwood MI 49518-8782 |
| Practice Telephone | 6307830225 |
| Practice Fax Number | 6307830225 |
| Mailing Telephone | 6164558434 |
| Mailing Fax Number | 6164558434 |
| Enumeration Date | 2007-11-30 |
| Last Update Date | 2007-11-30 |
| Authorized Official Name | ERIC BERTRAND (RECEPTIONIST) |
| Authorized Official Telephone | 5749368144 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 152W00000X | Optometrist | Eye and Vision Services Providers | ||
| Y | 207W00000X | Ophthalmology | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Vision Center@Meijer | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922273226 | Full Sail Partners | Ophthalmology | 8300 Meijer Dr, Canal Winchester, OH 43110-7400 | 2008-04-28 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| North Carolina Corporations | Full Sail Partners Ltd. | 100 Brownstone Drive, Mooresville, NC 28117 |
| Colorado Business Entities | Full Sail Partners, Ltd. | 112 W. Williams Street, Oak Creek, CO 80467 |
| Street Address |
755 E BOUGHTON RD |
| City | BOLINGBROOK |
| State | IL |
| Zip Code | 60440-2250 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861802456 | Meijer | Point of Service | 755 E Boughton Rd, Bolingbrook, IL 60440-2250 | 2014-05-05 |
| 1336419134 | Meijer Great Lakes Limited Partnership | Durable Medical Equipment & Medical Supplies | 755 E Boughton Rd, Bolingbrook, IL 60440-2250 | 2012-01-10 |
| 1609145234 | Susan M Davis | Nurse Practitioner | 755 E Boughton Rd, Bolingbrook, IL 60440-2250 | 2011-12-28 |
| 1093736175 | Us Vision Optical Inc | Eyewear Supplier (Equipment, not the service) | 755 E Boughton Rd, Bolingbrook, IL 60440-2250 | 2006-07-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275141251 | Derick Dermatology, LLC | Dermatology | 239 Remington Boulevard, Suite 225, Bolingbrook, IL 60440 | 2020-07-16 |
| 1851949150 | Rachel Nicole Weis | Student in an Organized Health Care Education/Training Program | 777 Falconridge Way, Bolingbrook, IL 60440 | 2019-08-29 |
| 1578072815 | Onna Ford-kendrick | Nurse Practitioner | 151 E. Briarcliff Rd, -, Bolingbrook, IL 60440 | 2017-09-28 |
| 1891245213 | Megan Lotarski | Specialist/Technologist | 6 Copper Ct, Bolingbrook, IL 60440 | 2016-10-10 |
| 1144775800 | Mitchell Quill | Chiropractor | 550 E Boughton Rd Ste 150, Bolingbrook, IL 60440 | 2016-08-23 |
| 1477914125 | Alessia L. Elerby | Specialist | 128 S Cass Ave, Westmont, IL 60440 | 2016-03-09 |
| 1982073821 | Melissa Perkins | Counselor | 511 Preston Drive, Bolingbrook, IL 60440 | 2015-09-22 |
| 1821467754 | Advanced Patient Care, LLC. | Pharmacy | 335-337 Remington Blvd., Bolingbrook, IL 60440 | 2015-09-22 |
| 1770998262 | Adventist Bolingbrook Hospital | Internal Medicine | 420 S Schmidt, Ste 230, Bolingbrook, IL 60440 | 2014-06-24 |
| 1467864512 | Alice II Salons | Specialist | 311 Quadr,., Bolingbrook, IL 60440 | 2014-05-23 |
| Find all providers in zip 60440 | ||||
| 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 |
|---|---|---|---|---|
| 1992764625 | Rajakumari Prakash Selvaraj | Ophthalmology | 393 Remington Blvd., Suite 340, Bolingbrook, IL 60440-3442 | 2006-03-21 |
| 1619936358 | West Suburban Eye Center, S.c. | Ophthalmology | 396 Remington Blvd., Suite 340, Bolingbrook, IL 60440-3442 | 2006-03-21 |
| 1467454124 | Prakash Selvaraj | Ophthalmology | 396 Remington Blvd, Suite 340, Bolingbrook, IL 60440-1732 | 2005-08-12 |
| 1114923497 | Bryan J Phillips | Ophthalmology | 718 S Weber Road, Bolingbrook, IL 60490 | 2005-06-22 |
| 1104981455 | Bryan J. Phillips,m.d.,s.c. | Ophthalmology | 718 S Weber Road, Bolingbrook, IL 60490 | 2006-12-27 |
| 1235293630 | Dawn Renee Phillips | Ophthalmology | 718 S Weber Road, Bolingbrook, IL 60490 | 2006-12-20 |
| 1154372845 | Sujaya P Rupani | Ophthalmology | 396 Remington Blvd, Suite 340, Bolingbrook, IL 60440-3466 | 2006-05-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104433473 | Chicagoland Eye Consultants, Sc | Ophthalmology | 477 E Butterfield Rd Ste 101, Lombard, IL 60148-4880 | 2020-09-30 |
| 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 |
| 1932730256 | Cereesa E. Longest Md Sc | Ophthalmology | 225 Oak Knoll Rd, Barrington, IL 60010-2615 | 2020-01-27 |
| 1497314181 | Ophthalmology Surgery Center of Illinois, LLC | Ophthalmology | 1300 N Arlington Heights Rd Ste 150, Itasca, IL 60143-3128 | 2019-06-06 |
| 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 |
| 1679039457 | Laser and Cataract Institute, LLC | Ophthalmology | 22200 Wolf Rd, Frankfort, IL 60423-7721 | 2019-02-15 |
| 1063987345 | Chataam Optical LLC | Ophthalmology | 8741 S Greenwood Ave Ste 108, Chicago, IL 60619-7058 | 2018-10-12 |
| 1922507474 | Dekalb Eye Consultants, LLC | Ophthalmology | 1075 Featherstone Rd Ste 10, Rockford, IL 61107-5906 | 2018-02-09 |
| Find all providers with the same taxonomy | ||||
| City | BOLINGBROOK |
| Zip Code | 60440 |
Please comment or provide details below to improve the information on FULL SAIL PARTNERS.
| 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.