EYE BOUTIQUE INC (NPI# 1720236805) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720236805 |
| Entity Type | Organization |
| Organization Name | EYE BOUTIQUE INC |
| Practice Address |
2239 W. Jefferson Street Joliet IL 60435-6303 |
| Mailing Address |
16800 W Cleveland Ave New Berlin WI 53151-3533 |
| Practice Telephone | 8157293752 |
| Practice Fax Number | 2629237671 |
| Mailing Telephone | 2624322005 |
| Mailing Fax Number | 2624322006 |
| Enumeration Date | 2008-09-03 |
| Last Update Date | 2014-10-22 |
| Authorized Official Name | MR. DARREN THOMAS HORNDASCH (PRESIDENT) |
| Authorized Official Telephone | 2624322005 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 152W00000X | Optometrist | Eye and Vision Services Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659529436 | Eye Boutique Inc | Optometrist | 1273 S Naper Blvd, Naperville, IL 60540-8300 | 2008-09-04 |
| 1679721591 | Eye Boutique Inc | Optometrist | 5005 Northwest Hwy, Crystal Lake, IL 60014-7330 | 2008-09-04 |
| 1487802260 | Eye Boutique Inc | Optometrist | 2509 County Line Rd, Algonquin, IL 60102-2566 | 2008-09-04 |
| 1114144276 | Eye Boutique Inc | Eyewear Supplier (Equipment, not the service) | 1839 W Irving Park Rd, Schaumburg, IL 60193-3509 | 2007-04-19 |
| 1396883401 | Eye Boutique Inc | Optometrist | 2524 W Farrelly Ave, Peoria, IL 61615-3650 | 2007-02-01 |
| 1972832012 | Eye Boutique Inc | Optometrist | 8800 W Dempster St, Niles, IL 60714-5109 | 2009-12-21 |
| 1851549638 | Eye Boutique Inc | Optometrist | 1622 Commons Drive, Geneva, IL 60134 | 2008-09-04 |
| Street Address |
2239 W. JEFFERSON STREET |
| City | JOLIET |
| State | IL |
| Zip Code | 60435-6303 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851889018 | Chime Ajiere | Nurse Practitioner | 511 Theodore St, Joliet, IL 60435 | 2018-04-24 |
| 1740791284 | Melanie Presnak | Speech-Language Pathologist | 1207 N Larkin Ave, Joliet, IL 60435 | 2017-10-23 |
| 1831618883 | Jeriel Marsena Quarles | Licensed Practical Nurse | 1617 W Jefferson Street, Joliet, IL 60435 | 2017-09-11 |
| 1053769760 | Cody Hutchinson | Physical Therapy Assistant | 2943 W Jefferson St, Joliet, IL 60435 | 2016-06-03 |
| 1659748549 | Megan Ryab | Massage Therapist | 501 Wilcox St, Joliet, IL 60435 | 2015-08-26 |
| 1922416197 | Kodo Care, Inc. | Pharmacy | 221 Springfield Avenue, Suite A, Joliet, IL 60435 | 2014-07-31 |
| 1528489739 | My Family Doc LLC | Family Medicine | 2001-03 Essington Rd, Joliet, IL 60435 | 2013-12-16 |
| 1184973869 | R A Lombardi Dds PC | Dentist | 3011 Theodore St., Joliet, IL 60435 | 2012-09-10 |
| 1245546076 | Kelly Rae Lesemann | Chiropractor | 1011 Essington Road, Joliet, IL 60435 | 2010-08-31 |
| 1932413697 | Ann E Todd | Optometrist | 1521 Essington Road, Everything In Sight, Joliet, IL 60435 | 2010-08-04 |
| Find all providers in zip 60435 | ||||
| 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 |
|---|---|---|---|---|
| 1124627880 | Biren Patel | Optometrist | 1330 N Larkin Ave, Joliet, IL 60435-3765 | 2020-10-22 |
| 1497201693 | Monica L Cicimov & Associates Inc | Optometrist | 179 N Chicago St, Joliet, IL 60432-4126 | 2016-08-28 |
| 1174900757 | Melissa Suzanne Spoula | Optometrist | 3340 Mall Loop Dr Spc 1442, Joliet, IL 60431 | 2015-05-02 |
| 1194031484 | Jeffrey Lionel Harris | Optometrist | 3033 W Jefferson St Ste 101, Joliet, IL 60435-5249 | 2010-08-24 |
| 1932413697 | Ann E Todd | Optometrist | 1521 Essington Road, Everything In Sight, Joliet, IL 60435 | 2010-08-04 |
| 1013055656 | Lisa Marie Politza-termunde | Optometrist | 370 Houbolt Rd Ste 102, Joliet, IL 60431-8303 | 2007-02-04 |
| 1366535528 | Mark M Alles | Optometrist | 963 N. 129th Infantry Dr., Suite 110, Joliet, IL 60435 | 2006-10-02 |
| 1144275082 | Sabah Akbar | Optometrist | 3340 Mall Loop Dr, Joliet, IL 60431-1057 | 2006-05-22 |
| 1154375392 | Brian Bouton | Optometrist | 2537 Plainfield Rd, Joliet, IL 60435-1463 | 2006-05-20 |
| 1992755516 | D David Pesavento | Optometrist | 963 129th Infantry Dr, Suite 110, Joliet, IL 60435 | 2006-05-12 |
| Find all providers in JOLIET | ||||
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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.