Active NPI
Karen Weldon Neidich, O.D.
- Optometrist
- Machesney Park, IL
National Provider Identifier
1982753265
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- Practice address
- 8750 N 2ND St
Machesney Park, IL 61115-2080 - Phone
- (815) 877-0016
- NPI assigned
- Jan 9, 2007
- Last updated
- Jul 8, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | IL | Primary |
Addresses
Primary practice location
8750 N 2ND St
Machesney Park, IL 61115-2080
Mailing address
1105 Butler Rd
Rockford, IL 61108-4702
Phone (815) 332-5784
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 046-008436 | IL | MD | Optometrist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1168300800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1982753265",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1105 BUTLER RD",
"city": "ROCKFORD",
"state": "IL",
"postal_code": "611084702",
"telephone_number": "815-332-5784"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8750 N 2ND ST",
"city": "MACHESNEY PARK",
"state": "IL",
"postal_code": "611152080",
"telephone_number": "815-877-0016"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NEIDICH",
"first_name": "KAREN",
"middle_name": "WELDON",
"credential": "O.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-01-09",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "IL",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Machesney Park, IL
- Stanley Njaramba Muthami, OTR
- Myeyedr Optometry of Illinois, LLC (MyEyeDr.)
- Mary L Namovice, RN
- Megan Kay Naser, PHARMD
- National Vision Inc (America's Best Contacts & Eyeglasses)
- Lawrence Nelson, DO
- Joshua Newman, MD
- VI Ngoc Nguyen, PHARMACIST, PHARM.D
- North Park Fire Protection District
- North Park Prescription Pharmacy Inc (North Park Pharmacy)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.