MIDWEST EYE CLINIC, INC (NPI# 1669636270) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1669636270 |
| Entity Type | Organization |
| Organization Name | MIDWEST EYE CLINIC, INC |
| Other Organization Name | MIDWEST EYE CLINIC |
| Practice Address |
6254 S Pulaski Rd Chicago IL 60629-4610 |
| Practice Telephone | 7735811515 |
| Practice Fax Number | 7735819663 |
| Mailing Telephone | 7735811515 |
| Mailing Fax Number | 7735819663 |
| Enumeration Date | 2008-07-12 |
| Last Update Date | 2008-07-12 |
| Authorized Official Name | MR. ERNESTO CARRASCO (PRESIDENT) |
| Authorized Official Telephone | 7735811515 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 152WC0802X |
Optometrist Specialization: Corneal and Contact Management |
346002682 | IL | Eye and Vision Services Providers |
| Other Name | Type Code |
|---|---|
| Midwest Eye Clinic | Doing Business As Name - Organization |
| Street Address |
6254 S PULASKI RD |
| City | CHICAGO |
| State | IL |
| Zip Code | 60629-4610 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356404248 | Dawn M Birch | Optometrist | 6254 S Pulaski Rd, Chicago, IL 60629-4610 | 2006-12-19 |
| 1578707584 | David Wayne Jackson | Optometrist | 6254 S Pulaski Rd, Chicago, IL 60629-4610 | 2009-04-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053946392 | T & M Care LLC | In Home Supportive Care | 7230 S Talman, Apt 4, Chicago, IL 60629 | 2020-03-06 |
| 1841847811 | Jacqueline Ann Milton | Technician | 6720 South Keating, Chicago, IL 60629 | 2019-08-23 |
| 1194202085 | Andrea Mosqueda | Counselor | 4217 W 59th St, Chicago, IL 60629 | 2018-07-23 |
| 1316439235 | Saliha Awais | Dentist | 5521 S. Kedzie Ave. Suite 105, Chicago, IL 60629 | 2018-06-06 |
| 1356833255 | Irfana Ilyas | Dentist | 2403,5521 S Kedzie Ave, Suite 105, Chicago, IL 60629 | 2018-06-06 |
| 1427547538 | Holy Cross Hospital | Psychiatric Unit | 2701 West 68th Street, Chicago, IL 60629 | 2018-05-03 |
| 1871003715 | Siddhi Vinayak Dental | Clinic/Center | 5521 S Kedzie Ave, Unit 105, Chicago, IL 60629 | 2017-10-05 |
| 1477092328 | Debra Shepard | Social Worker | 2601 W. Marquette Rd., Catholic Charities, Chicago, IL 60629 | 2017-02-13 |
| 1255777108 | Jacquelyn Jones | Developmental Therapist | 3108 West Marquette Road Apartment 1-b, Chicago, IL 60629 | 2013-05-20 |
| 1124368030 | Claudia Ballesteros | Interpreter | 5631 S. Richmond, Chicago, IL 60629 | 2013-03-01 |
| Find all providers in zip 60629 | ||||
| Taxonomy Code | 152WC0802X |
| Grouping | Eye and Vision Services Providers |
| Classification | Optometrist |
| Specialization | Corneal and Contact Management |
| The professional activities performed by an Optometrist related to the fitting of contact lenses to an eye, ongoing evaluation of the cornea’s ability to sustain successful contact lens wear, and treatment of any external eye or corneal condition which can affect contact lens wear. |
| Notes: Source: American Optometric Association [1/1/2009: added definition, added source] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508394933 | Awad Eyecare Sc | Optometrist | 1845 S Michigan Ave Unit 1803, Chicago, IL 60616 | 2017-05-30 |
| 1588063572 | Northwestern Medical Faculty Foundation | Optometrist | 259 E. Erie Street, Suite#02-220, Chicago, IL 60611-2661 | 2014-08-15 |
| 1558546713 | Halsted Eye Boutique, Inc. | Optometrist | 2852 N Halsted St, Chicago, IL 60657-6531 | 2008-01-07 |
| 1356559595 | Concept Eye Care, Ltd. | Optometrist | 1605 E 55th St, 1st Flr, Chicago, IL 60615-5803 | 2007-05-20 |
| 1225240369 | Eye Level Inc | Optometrist | 2 N. La Salle Street, Suite 155, Chicago, IL 60602 | 2007-05-03 |
| 1164642286 | Alan Karikomi | Optometrist | 2 N La Salle St, Suite 155, Chicago, IL 60602-3702 | 2007-04-30 |
| 1659497071 | Dennis Delee, O.d., P.C. | Optometrist | 209 S La Salle St, Ste 120, Chicago, IL 60604-1219 | 2007-03-21 |
| 1902818180 | Robert John Steinmetz | Optometrist | 1444 S Michigan Ave, Chicago, IL 60605-4827 | 2006-08-13 |
| 1699776203 | Cesar L. Lau | Optometrist | 4968 N Milwaukee Ave, Unit 1 S, Chicago, IL 60630-2383 | 2005-08-04 |
| 1962973503 | Solo Eye Care & Eyewear Gallery, LLC | Optometrist | 3201 S Wallace St, Chicago, IL 60616-3501 | 2018-12-07 |
| 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.