DR. LYUDMILA P PODBEREZIN


Address: 3455 Dempster St, Skokie, IL 60076-2455
Phone: 8477630600

DR. LYUDMILA P PODBEREZIN (NPI# 1790914992) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1790914992
Entity Type Individual
Full Name DR. LYUDMILA P PODBEREZIN
Credential O.D.
Practice Address 3455 Dempster St
Skokie
IL 60076-2455
Practice Telephone 8477630600
Practice Fax Number 8477630660
Mailing Telephone 8477630600
Mailing Fax Number 8477630660
Enumeration Date 2009-07-08
Last Update Date 2013-03-10
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 152W00000X Optometrist 046010277 IL Eye and Vision Services Providers

Other Provider Identifier

State Issuer Identifier Type Code
IL 046010277 05

Office Location

Street Address 3455 DEMPSTER ST
City SKOKIE
State IL
Zip Code 60076-2455

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1902456999 Gateway Foundation, Inc Clinic/Center 4028 W. Dempster, Ste 100, Skokie, IL 60076 2019-09-12
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1710531223 Dw Care Solutions Hospice Care, Community Based 4556 Oakton St, Suite 205, Skokie, IL 60076 2019-08-01
1689228157 Elaine Ng Pharmacist 9650 Gross Point Rd Suite 4900, Skokie, IL 60076 2019-08-01
1881169381 Kathleen Pyles Registered Nurse 9650 Gross Point Rd # 4900, Skokie, IL 60076 2018-10-10
1174013452 Vitae Health of Illinois LLC Social Worker 3450 Oakton St, Skokie, IL 60076 2018-05-13
1396253530 Jodi Novick Okner Social Worker 9134 Kilbourn Avenue, Skokie, IL 60076 2018-01-22
1700335924 Olumide Adeyemo Nurse Practitioner 4711 Golf Rd Suite 1250, Skokie, IL 60076 2016-09-28
1255705315 Malka Rokach Pharmacist 3358 W Touhy, Skokie, IL 60076 2015-11-30
1578932620 Katrina Margaret Keithley Physician Assistant 9669 Kenton Ave Ste 203, Skokie, IL 60076 2015-09-18
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Taxonomy Information

Taxonomy Code 152W00000X
Grouping Eye and Vision Services Providers
Classification Optometrist

Taxonomy Definition

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]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1871119859 Stacy Olswang Optometrist 8707 Skokie Blvd Ste 308, Skokie, IL 60077-2281 2020-06-24
1750945408 Rosin Optical Co. Inc. Optometrist 8035 Lincoln Ave, Skokie, IL 60077-3612 2019-04-29
1013206531 Gittele Optical Inc. Optometrist 3455a Dempster St, Skokie, IL 60076-2455 2011-04-05
1285804369 Eddy Skokie Optical Inc Optometrist 8035 N Lincoln Ave, Skokie, IL 60077-3612 2008-03-05
1457576233 Bruce Ira Gaynes Optometrist 8300 Knox Ave, Skokie, IL 60076-2669 2007-04-16
1174748032 See Inc Optometrist 350 Old Orchard, Skokie, IL 60077 2007-04-16
1245367853 Irene Kats Optometrist 7151 Central Ave, Skokie, IL 60077-3275 2007-02-28
1972651636 Adalina Kulbak Optometrist 9436 Karlov Ave, Skokie, IL 60076-1417 2007-01-08
1730251612 Nancy J Casper Optometrist 9450 Skokie Blvd, Skokie, IL 60077-1311 2006-11-15
1255309480 Joseph T Uyeda Optometrist 4349 Howard St, Skokie, IL 60076-3755 2006-03-14
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Competitor

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City SKOKIE
Zip Code 60076

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Dataset Information

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.

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