Organization Active NPI

Chander Vision Group LTD

  • Optometrist
  • Chicago, IL
National Provider Identifier
1003078577
Registry record updated Jul 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
0468891 Issued in IL
Legal business name
CHANDER VISION GROUP LTD
Practice address
5460 S Archer Ave
Chicago, IL 60638-3033
Phone
(773) 735-6090
Fax
(773) 581-0320
NPI assigned
Jun 26, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 27, 2023

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

Authorized official

Name
Dr. Sandip Steven Chander, O.D.NPI 1407952781
Title
Clinical Director Optometrist
Phone
(773) 735-6090

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X 0468891 IL Primary

Addresses

Primary practice location

5460 S Archer Ave
Chicago, IL 60638-3033

Mailing address

5460 S Archer Ave
Chicago, IL 60638-3033
Phone (773) 735-6090

Other identifiers 2

IdentifierTypeStateIssuer
8392074OtherILCIGNA
01623496OtherILBLUE CROSS BLUE SHIELD

Other names 1

  • Primary Eye Care Associates Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20110131000847 IL Part B Supplier - Clinic/Group Practice 4789640020 Receives reassigned benefits from 2 practitioners
Practice locations: Chicago, IL

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
14D2009035Primary Eye Care Assoc5460 S Archer Ave, Chicago, IL 60638Certificate of waiverJun 23, 2028

National Provider Directory

National Provider Directory

Locations

5460 S Archer Ave
Chicago, IL 60638
Phone (773) 735-6090

Practitioners & affiliated clinicians

Practitioners 2

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

NPI Registry JSON

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

{
    "created_epoch": "1214438400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1690416000000",
    "number": "1003078577",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5460 S ARCHER AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606383033",
            "telephone_number": "773-735-6090",
            "fax_number": "773-581-0320"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5460 S ARCHER AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606383033",
            "telephone_number": "773-735-6090",
            "fax_number": "773-581-0320"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHANDER VISION GROUP LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-06-26",
        "last_updated": "2023-07-27",
        "certification_date": "2023-07-27",
        "status": "A",
        "authorized_official_last_name": "CHANDER",
        "authorized_official_first_name": "SANDIP",
        "authorized_official_middle_name": "STEVEN",
        "authorized_official_title_or_position": "CLINICAL DIRECTOR OPTOMETRIST",
        "authorized_official_telephone_number": "773-735-6090",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "IL",
            "license": "0468891",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "8392074",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "01623496",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Primary Eye Care Associates",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Primary Eye Care Associates",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Chicago, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.