GINA BERG (NPI# 1710548151) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1710548151 |
| Entity Type | Individual |
| Full Name | GINA BERG |
| Practice Address |
320 Chicago Ridge Mall Chicago Ridge IL 60415-2602 |
| Mailing Address |
662 W Roscoe St Apt 2 Chicago IL 60657-2912 |
| Practice Telephone | 7084230033 |
| Enumeration Date | 2019-06-26 |
| Last Update Date | 2019-06-26 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 152W00000X | Optometrist | 046011321 | IL | Eye and Vision Services Providers |
| Street Address |
320 CHICAGO RIDGE MALL |
| City | CHICAGO RIDGE |
| State | IL |
| Zip Code | 60415-2602 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376615526 | Karynn Allen | Optometrist | 320 Chicago Ridge Mall, Ste #c15, Chicago Ridge, IL 60415-2602 | 2006-11-14 |
| 1659888733 | Jane Fang | Optometrist | 320 Chicago Ridge Mall, Chicago Ridge, IL 60415-2602 | 2018-01-10 |
| 1457400525 | Peggy Dolores Stein | Optometrist | 320 Chicago Ridge Mall, Ste #c15, Chicago Ridge, IL 60415-2602 | 2007-01-09 |
| 1639227499 | Leo Kammer | Optometrist | 320 Chicago Ridge Mall, Ste #c15, Chicago Ridge, IL 60415-2602 | 2007-01-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396233854 | All American Physical Therapy P.C. | Clinic/Center | 9830 Ridgeland Ave Ste 3a, Chicago Ridge, IL 60415 | 2018-04-30 |
| 1841711561 | Limitless Transportation of Illinois | Non-emergency Medical Transport (VAN) | 6726 107th St Unit 2c, Chicago Ridge, IL 60415 | 2017-07-03 |
| 1376927293 | Fariha Querishi | Dentist | 6501 W 95th Street, Chicago Ridge, IL 60415 | 2015-07-10 |
| 1780958603 | Delores Jean Jackson | Occupational Therapy Assistant | 10300 Southwest Highway, Chicago Ridge, IL 60415 | 2012-02-24 |
| 1376855395 | Aa1 Medicar Transpotation Inc | Non-emergency Medical Transport (VAN) | 10624 S Major St 2n, Chicago Ridge, IL 60415 | 2010-07-07 |
| 1952591448 | Orion Diagnostic & Chiropractic Center | Chiropractor | 9830 S. Ridgeland Ave, Suite # 5, Chicago Ridge, IL 60415 | 2007-07-31 |
| 1518006808 | Christopher John Green | Dentist | 6422 W 107th St, Chicago Ridge, IL 60415 | 2007-02-05 |
| 1376697383 | Luxottica Retail North America, Inc | Eyewear Supplier (Equipment, not the service) | 320 Chicago Ridge Mall # C15, Chicago Ridge, IL 60415 | 2007-01-23 |
| 1144372194 | Ikechukwu Oguejiofor | Urology | 10400 S0uthwest Highway, Chicago Ridge, IL 60415 | 2007-01-18 |
| 1306909148 | Edward Philip Mann | Ophthalmology | 5850 W 111th St, Chicago Ridge, IL 60415 | 2006-12-19 |
| Find all providers in zip 60415 | ||||
| Taxonomy Code | 152W00000X |
| Grouping | Eye and Vision Services Providers |
| Classification | Optometrist |
| Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system. |
| Notes: Source: American Optometric Association (AOA), approved by the AOA’s Board of Trustees, June 21, 2005. [7/1/2006: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659903805 | Bharti Sethi | Optometrist | 101 Chicago Ridge Mall Ste E-1, Chicago Ridge, IL 60415-2603 | 2020-02-05 |
| 1073087474 | For Eyes Optical Company of Pa | Optometrist | 9900 S Ridgleland Ave, Chicago Ridge, IL 60643 | 2019-01-18 |
| 1902928880 | Carolyn Szumanski | Optometrist | 101 Chicago Ridge Mall, Ste E-1, Chicago Ridge, IL 60415-2603 | 2007-04-04 |
| 1447396064 | Kathleen D Sblendorio | Optometrist | 9900 S. Ridgeland Avenue, Chicago Ridge, IL 60415-1241 | 2007-01-30 |
| 1073686416 | Mark S. Sblendorio | Optometrist | 9900 Ridgeland Ave, Chicago Ridge, IL 60415-1241 | 2006-11-15 |
| 1376615526 | Karynn Allen | Optometrist | 320 Chicago Ridge Mall, Ste #c15, Chicago Ridge, IL 60415-2602 | 2006-11-14 |
| 1598771537 | Thomas Michael Obrien | Optometrist | 5706 111th St, Chicago Ridge, IL 60415-2407 | 2006-07-31 |
| 1932719473 | Family Eye Professionals Ltd | Optometrist | 9830 Ridgeland Ave, Chicago Ridge, IL 60415-2667 | 2020-08-07 |
| 1659888733 | Jane Fang | Optometrist | 320 Chicago Ridge Mall, Chicago Ridge, IL 60415-2602 | 2018-01-10 |
| 1740639723 | Cherie Lynn Hemsworth | Optometrist | 320 Chicago Ridge Mall # C15, Chicago Ridge, IL 60415-2602 | 2016-06-09 |
| Find all providers in CHICAGO RIDGE | ||||
| City | CHICAGO RIDGE |
| Zip Code | 60415 |
Please comment or provide details below to improve the information on GINA BERG.
| 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.