ADVANCED EYE CARE SC (NPI# 1770712531) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1770712531 |
Entity Type | Organization |
Organization Name | ADVANCED EYE CARE SC |
Practice Address |
1870 Silver Cross Boulevard Suite110 New Lenox IL 60451 |
Practice Telephone | 8154852727 |
Practice Fax Number | 8154853034 |
Mailing Telephone | 8154852727 |
Mailing Fax Number | 8154853034 |
Enumeration Date | 2009-07-14 |
Last Update Date | 2010-08-27 |
Authorized Official Name | DR. TIMOTHY A KISLA (OWNER) |
Authorized Official Telephone | 8154852727 |
Authorized Official Credential | DO |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 332B00000X | Durable Medical Equipment & Medical Supplies | 042618144 | IL | Suppliers |
Street Address |
1870 SILVER CROSS BOULEVARD SUITE110 |
City | NEW LENOX |
State | IL |
Zip Code | 60451 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1619260247 | Southwest Dermatology | Dermatology | 1870 Silver Cross Boulevard, Suite 250, New Lenox, IL 60451 | 2011-05-16 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1871126227 | Forever Family Dental of New Lenox | Dentist | 202 Vancina Lane, New Lenox, IL 60451 | 2020-02-13 |
1699245662 | Highland Park Cvs LLC | Durable Medical Equipment & Medical Supplies | 115 East Maple St, New Lenox, IL 60451 | 2018-12-03 |
1093204778 | New Lenox Anesthesia LLC | Anesthesiology | 678 Cedar Crossing Dr, New Lenox, IL 60451 | 2018-05-08 |
1578068698 | My Medicar | Non-emergency Medical Transport (VAN) | 21625 S. Schoolhouse Rd, New Lenox, IL 60451 | 2018-03-29 |
1134646771 | Julianne M. Goudzwaard | Registered Nurse | 841 Buckboard Drive, New Lenox, IL 60451 | 2017-08-24 |
1063947422 | Silver Cross Ambulatory Surgery Center, LLC | Clinic/Center | 1003 Pawlak Parkway, New Lenox, IL 60451 | 2017-04-24 |
1386090041 | Lindsey Reimer | Speech-Language Pathologist | 3515 Golf Ave, New Lenox, IL 60451 | 2016-05-11 |
1295105484 | Alison Elaine Burchardt | Nurse Practitioner | 1890 Silver Cross Boulevard, Pavilion A, Suite 240, New Lenox, IL 60451 | 2015-09-30 |
1700278959 | Dental Professionals of Illinois, P.c | Dentist | 561 E Lincoln Hwy, New Lenox, IL 60451 | 2015-02-25 |
1912319146 | Teresea Bargewell | Counselor | 1049 E. Lincoln Hwy, Decision Point Counseling and Career Center, New Lenox, IL 60451 | 2014-05-22 |
Find all providers in zip 60451 |
Taxonomy Code | 332B00000X |
Grouping | Suppliers |
Classification | Durable Medical Equipment & Medical Supplies |
A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient’s use in the home and that are usable for an extended period of time. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1699245662 | Highland Park Cvs LLC | Durable Medical Equipment & Medical Supplies | 115 East Maple St, New Lenox, IL 60451 | 2018-12-03 |
1891071502 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 1890 Silver Cross Blvd Ste 120, New Lenox, IL 60451-9528 | 2011-10-26 |
1124335187 | Walmart Inc. | Durable Medical Equipment & Medical Supplies | 501 E Lincoln Hwy, New Lenox, IL 60451-1909 | 2010-09-10 |
1154656916 | Crossroads Medical Supply,inc. | Durable Medical Equipment & Medical Supplies | 205 W Joliet Hwy, 205 W. Joliet Hwy., New Lenox, IL 60451-2111 | 2009-10-13 |
1649410366 | Acura Medical Equipment & Supplies Inc | Durable Medical Equipment & Medical Supplies | 14423 Edison Dr, Ste B, New Lenox, IL 60451-4012 | 2009-02-21 |
1831389204 | American Drug Stores LLC | Durable Medical Equipment & Medical Supplies | 2021 E Laraway Rd, New Lenox, IL 60451 | 2007-07-31 |
1235212556 | Professional Medical & Surgical Supply, Inc | Durable Medical Equipment & Medical Supplies | 1917 Garnet Ct, New Lenox, IL 60451-1593 | 2006-10-23 |
1821192766 | Highland Park Cvs, L.L.C. | Durable Medical Equipment & Medical Supplies | 2050 Nelson Rd, New Lenox, IL 60451-8537 | 2006-09-12 |
1083629273 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 450 S Schoolhouse Rd, New Lenox, IL 60451-2080 | 2006-07-29 |
1033131743 | Highland Park Cvs LLC | Durable Medical Equipment & Medical Supplies | 2370 E Lincoln Hwy, New Lenox, IL 60451-9533 | 2006-07-24 |
Find all providers in NEW LENOX |
Please comment or provide details below to improve the information on ADVANCED EYE CARE SC.
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.