Podberezin Eye Care PC

Primary specialty

OptometristTaxonomy code 152W00000X

License

046010277 Issued in IL

Legal business name

PODBEREZIN EYE CARE PC

Practice address

944 Vernon CT
Vernon Hills, IL 60061-1341

Phone

(224) 513-5300

NPI assigned

Jul 12, 2011

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Lyudmila P Podberezin, O.D.

Title

President

Phone

(224) 513-5300

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Karina Fulton, O.D

  • Optometrist
  • Chicago, IL
  • NPI 1801183660
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1310428800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1310428800000",
    "number": "1619265691",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "944 VERNON CT",
            "city": "VERNON HILLS",
            "state": "IL",
            "postal_code": "600611341",
            "telephone_number": "224-513-5300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "944 VERNON CT",
            "city": "VERNON HILLS",
            "state": "IL",
            "postal_code": "600611341",
            "telephone_number": "224-513-5300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PODBEREZIN EYE CARE PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-07-12",
        "last_updated": "2011-07-12",
        "status": "A",
        "authorized_official_last_name": "PODBEREZIN",
        "authorized_official_first_name": "LYUDMILA",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "224-513-5300",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "IL",
            "license": "046010277",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "046010277",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Margaret Jean Pither, L.C.P.C.
• Kaitlyn Plant, PT, DPT
• Emily Plesnicar, MA, LCPC
• Ashley Plotkin, O.D.
• Kelly Dawn Poapst, LPC, CADC
• Inna Podoksik, MD
• Brittany E Polacek, MSE, LPC, NCC
• Anne Poley, FNP-BC
• Lauren Popko, APRN, PMHNP-BC
• Richard Mark Port, DDS, MS

• Optometrist in Vernon Hills, IL
• Providers in Vernon Hills, IL by specialty
• Optometrist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.