Allan H Palatnick, OD
Individual provider Active NPI Optometrist · East Dundee, IL
NPI 1528079563 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1528079563
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Optometrist 152W00000X
- Practice address
- 620 Dundee Ave
East Dundee, IL 60118-3010 - Phone
- (847) 426-5251
- Fax
- (847) 426-5286
- NPI assigned
- Aug 11, 2006
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 5
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in AZ
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: No · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20191104002381 | AZ | Practitioner - Optometry | 0648351890 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 046-006675 | IL | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Tom Sowash OD & Associates PC | Optometrist | Current |
Accepting new patients |
| Emergency Medical & Surgical Specialists of Colorado LLC | Past | Accepting new patients | |
| Visionworks, Inc | Past | Accepting new patients | |
| A&R Optical, Inc. | Optometrist | Past | Accepting new patients |
| Visionworks, Inc. | Optometrist | Past |
Accepting new patients |
Locations
917 N Promenade Pkwy
Ste 101
Casa Grande, AZ 85194
Phone (520) 836-8946
3431 W Frye Rd
Ste 1
Chandler, AZ 85226
Phone (480) 782-9380
9055 E Talking Stick Way
Scottsdale, AZ 85250
Phone (480) 948-0705
5870 E Broadway Blvd
Ste 506
Tucson, AZ 85711
Phone (520) 745-0229
175 E Houston St
San Antonio, TX 78205
Phone (210) 524-6982
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | IL | Yes |
Addresses
Primary practice location
620 Dundee Ave
East Dundee, IL 60118-3010
Mailing address
307 Hickory LN
Schaumburg, IL 60193-1516
Phone (847) 891-3992
Other providers in East Dundee, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.