ANGELO MARINO (NPI# 1780735688) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1780735688 |
| Entity Type | Individual |
| Full Name | ANGELO MARINO |
| Credential | O. D. |
| Practice Address |
880 Bedford Rd Morris IL 60450-1209 |
| Practice Telephone | 8159425500 |
| Practice Fax Number | 8159421851 |
| Mailing Telephone | 8159425500 |
| Mailing Fax Number | 8159421851 |
| Enumeration Date | 2007-01-16 |
| Last Update Date | 2011-09-22 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 152W00000X | Optometrist | 046 008832 | IL | Eye and Vision Services Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IL | 046008832 | 05 | |
| IL | BLUE CROSS BLUE SHIELD IL | 0003084001 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215169404 | Angelo Giuseppe Marino | Radiology | 85 Seymour St Ste 200, Hartford, CT 06106-5509 | 2009-08-20 |
| Street Address |
880 BEDFORD RD |
| City | MORRIS |
| State | IL |
| Zip Code | 60450-1209 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710038690 | Timothy P Ortiz | Optometrist | 880 Bedford Rd, Morris, IL 60450-1209 | 2007-01-16 |
| 1770020349 | Omnisense LLC-absolute Hearing Care Series | Clinic/Center | 880 Bedford Rd, Morris, IL 60450-1209 | 2017-01-20 |
| 1891238598 | Ortiz Hearing Center | Hearing Instrument Specialist | 880 Bedford Rd, Morris, IL 60450-1209 | 2016-11-29 |
| 1285061101 | Ortiz Hearing Center, Inc. | Clinic/Center | 880 Bedford Rd, Morris, IL 60450-1209 | 2013-10-09 |
| 1568685923 | Ortiz Eye Associates, P. C. | Optometrist | 880 Bedford Rd, Morris, IL 60450-1209 | 2007-04-11 |
| 1912058827 | Philip A Ortiz | Optometrist | 880 Bedford Rd, Morris, IL 60450-1209 | 2007-01-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376144691 | Jessica Kubinski | Occupational Therapist | 1051 W, Us-6, Morris, IL 60450 | 2020-11-03 |
| 1922646652 | Anna Doherty | Counselor | Crossroads Counseling Services, 1802 N Division St Suite 509, Morris, IL 60450 | 2019-12-12 |
| 1003353764 | Crossroads Counseling Services, LLC | Community/Behavioral Health | 1802 N Division Street, Suite 509, Morris, IL 60450 | 2017-01-19 |
| 1780128249 | Lori Lynn Peterson | Nurse Practitioner | 8805 N Tabler Road, Health & Wellness Clinic, Morris, IL 60450 | 2016-12-18 |
| 1639613532 | Jodi Lynn Valencia | Licensed Practical Nurse | 114 E. Benton St., Morris, IL 60450 | 2016-12-12 |
| 1184001844 | Ashish G. Suthar | Pharmacist | 1600 West Route 6, Morris, IL 60450 | 2015-05-01 |
| 1255690574 | Tammy S. Zweeres | Nurse Practitioner | 936 W. U.S. Route 6, Morris, IL 60450 | 2012-05-07 |
| 1952682742 | Marie E Monhardt | Nurse Practitioner | 801 So Washington Str, Naperville, IL 60450 | 2011-09-07 |
| 1093024200 | Diane Marie Zuelke | Nurse Practitioner | 1802 N Division St Ste 703, Morris, IL 60450 | 2010-10-05 |
| 1063669182 | Athletic & Therapeutic Institute of Naperville, LLC | Physical Therapist | 201 East U.S. Route 6, Morris, IL 60450 | 2008-08-20 |
| Find all providers in zip 60450 | ||||
| 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 |
|---|---|---|---|---|
| 1952454191 | Jeffrey J Blanco | Optometrist | 1802 N. Division St., Suite 205, Morris, IL 60450 | 2007-01-19 |
| 1710038690 | Timothy P Ortiz | Optometrist | 880 Bedford Rd, Morris, IL 60450-1209 | 2007-01-16 |
| 1578640744 | Ryan H Kays | Optometrist | 1802 N Division St Ste 205, Morris, IL 60450-3134 | 2006-11-01 |
| 1982713012 | Joseph J Kisch | Optometrist | 512 Atlantic Ave, Midwest Family Eyecare Ltd, Morris, MN 56267 | 2006-08-30 |
| 1720094287 | George Albert Roebuck | Optometrist | 113 E Jefferson St, Morris, IL 60450-2101 | 2006-08-01 |
| 1922050707 | John Thomas Giannone | Optometrist | 333 E Us Route 6, Morris, IL 60450-8920 | 2006-05-17 |
| 1427415611 | Morris Eyecare Associates Inc | Optometrist | 425 E Us Route 6, Suite B, Morris, IL 60450-9042 | 2016-01-20 |
| 1235458761 | David J.casper,od. | Optometrist | 1802 Division St, Suite303, Morris, IL 60450-1182 | 2010-05-24 |
| 1073849931 | Rucnok Vision Care Inc | Optometrist | 333 E Us Route 6, Morris, IL 60450-8920 | 2009-10-28 |
| 1568647634 | Blanco Kays Eyecare, LLC | Optometrist | 1802 Division St, Suite 205, Morris, IL 60450-1182 | 2008-01-08 |
| Find all providers in MORRIS | ||||
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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.