MARY FAZELIAN (NPI# 1801914007) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1801914007 |
| Entity Type | Individual |
| Full Name | MARY FAZELIAN |
| Credential | O.D. |
| Practice Address |
7305 W Irving Park Rd Chicago IL 60634-3547 |
| Mailing Address |
5710 Lee St Morton Grove IL 60053-3117 |
| Practice Telephone | 8477228319 |
| Mailing Telephone | 8477228319 |
| Enumeration Date | 2007-03-26 |
| Last Update Date | 2012-05-22 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 152W00000X | Optometrist | 046009825 | IL | Eye and Vision Services Providers |
| N | 152WX0102X |
Optometrist Specialization: Occupational Vision |
3190 AT | OR | Eye and Vision Services Providers |
| Street Address |
7305 W IRVING PARK RD |
| City | CHICAGO |
| State | IL |
| Zip Code | 60634-3547 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639101348 | America's Best Contacts & Eyeglasses | Eyewear Supplier (Equipment, not the service) | 7305 W Irving Park Rd, Chicago, IL 60634-3547 | 2006-07-06 |
| 1285281816 | Donghyun Kim | Optometrist | 7305 W Irving Park Rd, Chicago, IL 60634-3547 | 2019-08-19 |
| 1407086663 | Kathleen Morley | Optometrist | 7305 W Irving Park Rd, Chicago, IL 60634-3547 | 2009-07-22 |
| 1356435507 | Deepa Ritesh Patel | Optometrist | 7305 W Irving Park Rd, Chicago, IL 60634-3547 | 2006-10-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356987333 | Alejandra Carrera | Student in an Organized Health Care Education/Training Program | 6417 W Irving Park Rd., Chicago, IL 60634 | 2019-11-25 |
| 1861977456 | Virtue Counseling Center | Counselor | 2904 N Parkside, Chicago, IL 60634 | 2018-09-28 |
| 1770931255 | Dynamic Transport Solutions LLC | Non-emergency Medical Transport (VAN) | 6109 W. Barry, Chicago, IL 60634 | 2016-05-25 |
| 1104284710 | Ez Dental | Dental Laboratory | 5621 W.montrose Avenue, Chicago, IL 60634 | 2016-02-10 |
| 1285075432 | Chicago Medical Transportation | Non-emergency Medical Transport (VAN) | 3033 N. Nordica Ave., Chicago, IL 60634 | 2013-07-16 |
| 1083985725 | Maria C. Rodriguez | Lactation Consultant, Non-RN | 6216 W. School St., Chicago, IL 60634 | 2012-01-25 |
| 1295066827 | Angie Harris | Occupational Therapist | 3339 N. Octavia, Chicago, IL 60634 | 2010-01-21 |
| 1205169802 | Belmont Dental P.C. | Dentist | 5611 W. Belmont Ave., Chicago, IL 60634 | 2009-09-14 |
| 1568605178 | Henry Biskup | Radiologic Technologist | 3105 N. Austin Ave., Chicago, IL 60634 | 2009-04-13 |
| 1306086624 | Highland Park Cvs, L.L.C. | Durable Medical Equipment & Medical Supplies | 3615 N. Central Ave, Chicago, IL 60634 | 2009-02-26 |
| Find all providers in zip 60634 | ||||
| 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 |
|---|---|---|---|---|
| 1790392587 | Adriana Casillas | Optometrist | 11129 S Avenue J, Chicago, IL 60617-6910 | 2020-09-25 |
| 1538778097 | Opt Vision | Optometrist | 5371 W Lawrence Ave Ste A, Chicago, IL 60630-3695 | 2020-07-30 |
| 1578180147 | Ortizii PC | Optometrist | 111 N Wabash Ave Ste 1111, Chicago, IL 60602-3119 | 2020-06-30 |
| 1588280358 | Iwona B. Lazarz | Optometrist | 6500 W Irving Park Rd Ste I, Chicago, IL 60634-2454 | 2020-06-17 |
| 1134741622 | Cvs Aoc Services, L.L.C. | Optometrist | 4051 North Lincoln, Store 8751, Chicago, IL 60618 | 2020-05-07 |
| 1154941367 | Sun Myung Park | Optometrist | 465 N Park Dr Apt 2203, Chicago, IL 60611-0008 | 2020-04-17 |
| 1578196341 | Steven K. Siu | Optometrist | 2719 S Princeton Ave Fl 1, Chicago, IL 60616-4883 | 2020-02-19 |
| 1235789884 | Courtney Bandemer | Optometrist | 3708 N Southport Ave, Chicago, IL 60613-6888 | 2019-09-16 |
| 1306493408 | Art of Sight Eyecare, LLC | Optometrist | 2915 N. Broadway, Chicago, IL 60657 | 2019-08-22 |
| 1154977759 | Keralyn Totten | Optometrist | 230 E Ohio St Ste 120, Chicago, IL 60611-3266 | 2019-08-11 |
| Find all providers in CHICAGO | ||||
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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.