MR. CHITTARANJAN VENKAT REDDY


Address: 3310 W Chartwell Rd, Suite 101, Peoria, IL 61614
Phone: 3096932249

MR. CHITTARANJAN VENKAT REDDY (NPI# 1992737084) 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) 1992737084
Entity Type Individual
Full Name MR. CHITTARANJAN VENKAT REDDY
Credential MD
Practice Address 3310 W Chartwell Rd
Suite 101
Peoria
IL 61614
Mailing Address Po Box 1466
Brookfield
WI 53008-1466
Practice Telephone 3096932249
Practice Fax Number 3096932583
Mailing Telephone 2627889229
Mailing Fax Number 2627889241
Enumeration Date 2006-07-07
Last Update Date 2018-08-21
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207W00000X Ophthalmology 036.090651 IL Allopathic & Osteopathic Physicians
N 207W00000X Ophthalmology 036090651 IL Allopathic & Osteopathic Physicians

Office Location

Street Address 3310 W CHARTWELL RD
SUITE 101
City PEORIA
State IL
Zip Code 61614

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NPI Name Taxonomy Address Enumeration
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1205312790 Kathleen Marie Hendricks Nurse Practitioner 2809 W Willow Knolls Dr, Peoria, IL 61614 2018-07-17
1629563937 Mary Elizabeth Cunningham Counselor 6219 N. Eldorado Dr., Peoria, IL 61614 2018-06-28
1861937955 Angela Gilles Social Worker 6919 N Knoxville Ave Ste 100, Peoria, IL 61614 2016-12-27
1467994897 Melissa Saxsma Specialist 5009 N Executive Dr, Peoria, IL 61614 2016-11-16
1902258874 Rashid Plastic Surgery, LLC Plastic Surgery 804 W Trailcreek Drive, Peoria, IL 61614 2016-07-05
1215313143 Melissa Lynn Phelan Nurse Practitioner 122 E Morningside Dr, Peoria, IL 61614 2015-08-03
1811380165 All Ways Caring Services, Inc. In Home Supportive Care 6919 N Knoxville Ave, Suite 102, Peoria, IL 61614 2015-03-11
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Taxonomy Information

Taxonomy Code 207W00000X
Grouping Allopathic & Osteopathic Physicians
Classification Ophthalmology

Taxonomy Definition

An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source]
- Additional Resources: American Board of Ophthalmology, 2007. http://www.abop.org/. American Osteopathic Board of Ophthalmology and Otolaryngology, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Ophthalmology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Ophthalmology and Otolaryngology.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1982899258 Parminderpal Singh Ophthalmology 9151 W Thunderbird Rd Ste G101, Peoria, AZ 85381-4906 2007-09-10
1629294285 Peoria Area Vision Care, LLC Ophthalmology 8921 North Wood Sage Rd, Peoria, IL 61615-7822 2007-04-18
1215016662 Michael Samuel Grossman Ophthalmology 4505 N Rockwood Dr, Peoria, IL 61615-3803 2006-11-06
1689769143 Southwest Eye Surgeons, Ltd Ophthalmology 9151 W Thunderbird Rd # G101, Peoria, AZ 85381-4906 2006-10-03
1295833192 Min Cheol Kim Ophthalmology 14155 North 83rd Avenue, Suite 1103, Peoria, AZ 85381 2006-09-21
1679593123 Wyman Sicher Eye Associates Sc Ophthalmology 8921 N. Wood Sage Rd, Peoria, IL 61615 2006-07-20
1689601940 Retina Consultants of Central Illinois, Sc Ophthalmology 3310 West Chartwell Road, Suite 101, Peoria, IL 61614 2006-06-26
1215995949 Plaza Del Rio Eye Clinic, PC Ophthalmology 13340 N 94th Dr, Peoria, AZ 85381-4236 2006-05-02
1558349001 Martha Joanne Willi Ophthalmology 1216 N Maplewood Ave, Peoria, IL 61606-1038 2006-01-05
1366424756 Peoria Eye Clinic, Ltd Ophthalmology 2422 W Nebraska Ave, Peoria, IL 61604-3112 2005-11-19
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City PEORIA
Zip Code 61614

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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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