MS. HANNAH LAUREN BENGTSON (NPI# 1780154013) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1780154013 |
| Entity Type | Individual |
| Full Name | MS. HANNAH LAUREN BENGTSON |
| Credential | O.D. |
| Practice Address |
820 E. Jackson St. Macomb IL 61455 |
| Practice Telephone | 3098334242 |
| Practice Fax Number | 3098333597 |
| Mailing Telephone | 3098334242 |
| Mailing Fax Number | 3098333597 |
| Enumeration Date | 2018-11-29 |
| Last Update Date | 2018-11-29 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 152W00000X | Optometrist | 046.011244 | IL | Eye and Vision Services Providers |
| Street Address |
820 E. JACKSON ST. |
| City | MACOMB |
| State | IL |
| Zip Code | 61455 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043869944 | Wesley Village, Inc | Speech-Language Pathologist | 1200 East Grant Street, Macomb, IL 61455 | 2019-09-04 |
| 1255832564 | Lifeguard Ambulance Service of Illinois Inc. | Ambulance | 219 W Jackson St, Macomb, IL 61455 | 2018-02-22 |
| 1821516816 | Michelle Deann Sargeant | Speech-Language Pathologist | 315 N. Bonham, Macomb, IL 61455 | 2017-08-30 |
| 1972020360 | Kara Marie Wright | Speech-Language Pathologist | 315 N. Bonham St., Macomb, IL 61455 | 2017-08-25 |
| 1720356504 | Dawn M. Kedzior | Social Worker | 103 South Johnson Street, Macomb, IL 61455 | 2011-12-07 |
| 1255632642 | Michael Kurt Sharp | Audiologist | Memorial Hall, Second Floor, W Murray St, Macomb, IL 61455 | 2010-11-16 |
| 1952538704 | Mary L. Smith | Developmental Therapist | 1 University Circle, Western Il Univ, Cntr for Best Practices In Early Childhood Education, Macomb, IL 61455 | 2009-06-19 |
| 1982857827 | Macomb Oncology Institute Ltd | Radiology | 401 East Grant Street, Macomb, IL 61455 | 2008-10-23 |
| 1245488345 | Sonja E Schmidt | Social Worker | 119 Wetzel Hall, Western Illinois University, Macomb, IL 61455 | 2008-09-03 |
| 1902072556 | Candice Leah Wietholder | Occupational Therapy Assistant | 8 Doctors Lane, Macomb, IL 61455 | 2008-05-05 |
| Find all providers in zip 61455 | ||||
| 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 |
|---|---|---|---|---|
| 1285646661 | Tim A Bengtson O.d., P.C. | Optometrist | 820 E Jackson St, Macomb, IL 61455-2412 | 2006-08-13 |
| 1700817376 | Modern Eyes Pllc | Optometrist | 51242 Westwood Dr, Macomb, MI 48042-4286 | 2006-07-05 |
| 1316980394 | Sean G Connolly | Optometrist | 21780 21 Mile Rd, Macomb, MI 48044-2974 | 2006-06-14 |
| 1457301368 | Eric Botts | Optometrist | 1730 E Jackson St, Macomb, IL 61455-2531 | 2006-05-11 |
| 1063494532 | Terry Vail | Optometrist | 119 S Side Sq, Macomb, IL 61455-2218 | 2005-11-18 |
| 1720074396 | David R. Culver | Optometrist | 222 S Randolph St, Macomb, IL 61455-0415 | 2005-09-20 |
| 1992147086 | Brigette Anne Colley | Optometrist | 820 E Jackson St, Macomb, IL 61455-2412 | 2013-07-18 |
| 1699963850 | Vision Consultants, Ltd. | Optometrist | 119 S Side Sq, Macomb, IL 61455-2218 | 2007-10-11 |
| 1891989919 | Tim A Bengtson | Optometrist | 820 E Jackson St, Macomb, IL 61455-2412 | 2007-08-31 |
| 1710180922 | Dr Eric Botts & Associates LLC | Optometrist | 1730 E Jackson St, Macomb, IL 61455-2531 | 2007-06-06 |
| Find all providers in MACOMB | ||||
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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.