ESSENTIAL OPHTHALMOLOGY INC (NPI# 1811479058) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1811479058 |
Entity Type | Organization |
Organization Name | ESSENTIAL OPHTHALMOLOGY INC |
Practice Address |
4646 N Marine Dr Ste A5400 Chicago IL 60640-5759 |
Practice Telephone | 7735614545 |
Practice Fax Number | 7735619031 |
Mailing Telephone | 7735614545 |
Mailing Fax Number | 7735619031 |
Enumeration Date | 2018-09-04 |
Last Update Date | 2018-09-04 |
Authorized Official Name | MR. LAWRENCE STONE (OWNER/ PHYSICIAN) |
Authorized Official Telephone | 7735614545 |
Authorized Official Credential | MD |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 261QS0132X |
Clinic/Center Specialization: Ophthalmologic Surgery |
Ambulatory Health Care Facilities |
Street Address |
4646 N MARINE DR STE A5400 |
City | CHICAGO |
State | IL |
Zip Code | 60640-5759 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1336754233 | Rci (wrs), LLC. | Clinic/Center | 5221-23 North Broadway, Chicago, IL 60640 | 2020-09-09 |
1548871916 | Borici Counseling LLC | Counselor | 4731 N Paulina St, Chicago, IL 60640 | 2020-08-11 |
1306319173 | Gerardo Garcia | Physician Assistant | Medical Staff Office, Weiss Memorial Hospital, 4646 N Marine Drive, Chicago, IL 60640 | 2019-01-04 |
1386121283 | Aea Optical Ventures, LLC | Clinic/Center | 4814 N Clark St, Chicago, IL 60640 | 2018-07-24 |
1023503885 | Lauren Vassiliades | Internal Medicine | Weiss Memorial Hospital, Medical Education Dpt., 4646 N. Marine Drive, C Elevators, 7th Flr. # 7100, Chicago, IL 60640 | 2018-06-25 |
1477061620 | Yesenia Vargas | Nurse Practitioner | 1025 W Sunnyside, Chicago, IL 60640 | 2018-01-22 |
1932622206 | Jasleen Kaur Brar | Internal Medicine | 4646 N. Marine Dr., Chicago, IL 60640 | 2017-07-19 |
1750802849 | Umer Mukhtar | Internal Medicine | 4646 N. Marine Dr. Med Ed Dept. C Elevators., Weiss Memorial Hospital. 7 Floor. #7100, Chicago, IL 60640 | 2017-06-29 |
1184144081 | Ellie Navidson | Registered Nurse | 1015 W Lawrence, 2nd Floor, Chicago, IL 60640 | 2017-06-21 |
1962932558 | Jennifer Stridh | Marriage & Family Therapist | 5125 N. Winthrop Ave, 1f, Chicago, IL 60640 | 2017-06-15 |
Find all providers in zip 60640 |
Taxonomy Code | 261QS0132X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Ophthalmologic Surgery |
Definition to come... |
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1255564258 | Lake Shore Retina, S. C. | Clinic/Center | 850 W Irving Park Rd, Chicago, IL 60613-3077 | 2009-08-25 |
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1750765012 | Illinois Retina Associates, S.c. | Clinic/Center | 71 W 156th St Ste 400, Harvey, IL 60426-4265 | 2015-07-16 |
1023056090 | Gailey Eye Surgery - Decatur, LLC | Clinic/Center | 646 W Pershing Rd, Decatur, IL 62526-1633 | 2006-06-03 |
1427698489 | Deseye Retina LLC | Clinic/Center | 15905 S Frederick St Ste 105, Plainfield, IL 60586-2212 | 2020-01-07 |
1356897748 | The Cataract Vision Institute LLC | Clinic/Center | 1 Mid America Plz, Suite 250, Oakbrook Terrace, IL 60181-4450 | 2016-08-26 |
1184896219 | Nierman Nierman & Nierman | Clinic/Center | 151 Mchenry Rd, Buffalo Grove, IL 60089-1796 | 2008-03-28 |
1790983914 | Elmhurst Eye Surgery Center | Clinic/Center | 152 N Addison Ave, Elmhurst, IL 60126-2821 | 2007-07-10 |
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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.